MEDICARE: MICHAEL BIEGANSKI 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	DC29834	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	753207222 0000	OTHER	CA	CIGNA
2	753207222 A	OTHER	CA	HEALTH NET
3	1069227	OTHER	CA	BLUECROSS
5	1069227	OTHER	CA	ASH
6	702820	OTHER	CA	ACN GROUP

General Provider Information

NPI Number	:	1750508461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL BIEGANSKI DC

Provider Business Mailing Address
First Line	:	6146 CAMINO VERDE DR
Second Line	:	STE P
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1460
Country	:	US
Telephone Number	:	408-206-5909
Fax Number	:

Provider Business Practice Location Address
First Line	:	6146 CAMINO VERDE DR
Second Line	:	SUITE P
City	:	SAN JOSE
State	:	CA
Zip	:	95119-1460
Country	:	US
Telephone Number	:	408-206-5909
Fax Number	:	408-279-3896

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	09/05/2016

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