Provider Demographics
NPI:1114168473
Name:DEL BIANCO, JAMES LEVI (CPO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LEVI
Last Name:DEL BIANCO
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 W WILLIAMS ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3955
Mailing Address - Country:US
Mailing Address - Phone:919-740-8510
Mailing Address - Fax:888-635-6138
Practice Address - Street 1:1031 W WILLIAMS ST
Practice Address - Street 2:SUITE 104
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-3955
Practice Address - Country:US
Practice Address - Phone:919-740-8510
Practice Address - Fax:888-635-6138
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist