MEDICARE: DR. ZACHARY FRANK BIONDI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2700	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356310213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY FRANK BIONDI D.C.

Provider Business Mailing Address
First Line	:	21 NEW ORLEANS RD
Second Line	:	SUITE C
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-4732
Country	:	US
Telephone Number	:	843-689-9292
Fax Number	:	843-689-9292

Provider Business Practice Location Address
First Line	:	21 NEW ORLEANS RD
Second Line	:	SUITE C
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-4732
Country	:	US
Telephone Number	:	843-689-9292
Fax Number	:	843-689-9292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	03/04/2008

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