Provider Demographics
NPI:1750508461
Name:BIEGANSKI, MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:BIEGANSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6146 CAMINO VERDE DR
Mailing Address - Street 2:STE P
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1460
Mailing Address - Country:US
Mailing Address - Phone:408-206-5909
Mailing Address - Fax:
Practice Address - Street 1:6146 CAMINO VERDE DR
Practice Address - Street 2:SUITE P
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1460
Practice Address - Country:US
Practice Address - Phone:408-206-5909
Practice Address - Fax:408-279-3896
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA753207222 0000OtherCIGNA
CA753207222 AOtherHEALTH NET
CA1069227OtherBLUECROSS
CADC0298340OtherBLUE SHIELD
CA1069227OtherASH
CA702820OtherACN GROUP