Provider Demographics
NPI:1710146774
Name:BIANCHI, JEANNIE KATHARINE (LAC)
Entity Type:Individual
Prefix:
First Name:JEANNIE
Middle Name:KATHARINE
Last Name:BIANCHI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 BUSH ST
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-3902
Mailing Address - Country:US
Mailing Address - Phone:415-445-9388
Mailing Address - Fax:415-614-4546
Practice Address - Street 1:100 BUSH ST
Practice Address - Street 2:SUITE 1900
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3902
Practice Address - Country:US
Practice Address - Phone:415-445-9388
Practice Address - Fax:415-614-4546
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10025171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist