Provider Demographics
NPI:1679124614
Name:DR. BIANKA MUNOZ, DC LLC
Entity Type:Organization
Organization Name:DR. BIANKA MUNOZ, DC LLC
Other - Org Name:BALANCE MBS CHIROPRACTIC AND MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIANKA NYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-380-0929
Mailing Address - Street 1:PO BOX 1467
Mailing Address - Street 2:
Mailing Address - City:HERMISTON
Mailing Address - State:OR
Mailing Address - Zip Code:97838-3467
Mailing Address - Country:US
Mailing Address - Phone:541-289-9966
Mailing Address - Fax:
Practice Address - Street 1:215 SW 3RD ST
Practice Address - Street 2:STE B AND C
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838
Practice Address - Country:US
Practice Address - Phone:541-289-9966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty