Provider Demographics
NPI:1720595085
Name:SCOTT-WHITE, BIANCA (PBT)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:SCOTT-WHITE
Suffix:
Gender:F
Credentials:PBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1451
Mailing Address - Country:US
Mailing Address - Phone:330-906-9556
Mailing Address - Fax:
Practice Address - Street 1:989 EAST AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1451
Practice Address - Country:US
Practice Address - Phone:330-906-9556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care