Bianco, Teresa Irene

Bianco, Teresa Irene is an individual health care provider with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bianco, Teresa Irene can be contacted via phone (570) 320-7525.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Fax: (570) 320-7484
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD417420 Pennsylvania

Profile Details

NPI number 1881655942
LBN Legal business name Bianco, Teresa Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Feb 10th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881655942 NPPES
Pennsylvania Other 1315333 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0018595800001 HIGHMARK BLUE SHIELD
Pennsylvania Other 153640 HIGHMARK BLUE SHIELD
Pennsylvania Other 813859 HIGHMARK BLUE SHIELD
Pennsylvania Other H32152 HIGHMARK BLUE SHIELD

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