MEDICARE: FRANK JOHN CAPOBIANCO DC

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	CH60747255	WA
2	111N00000X	Chiropractor	DC33895	CA

General Provider Information

NPI Number	:	1427588151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK JOHN CAPOBIANCO DC

Provider Business Mailing Address
First Line	:	3770 CANTERBURY LN APT 118
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1191
Country	:	US
Telephone Number	:	916-247-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1680 BAKER CREEK PL
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-7602
Country	:	US
Telephone Number	:	916-213-7871
Fax Number	:

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	06/14/2017

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Directions to “ FRANK JOHN CAPOBIANCO DC” Practice Location

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