Provider Demographics
NPI:1891013181
Name:DEL BIANCO ENTERPRISES
Entity Type:Organization
Organization Name:DEL BIANCO ENTERPRISES
Other - Org Name:DEL BIANCO PROSTHETICS & ORTHOTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:DEL BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:919-740-8510
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:919-267-5674
Mailing Address - Fax:888-635-6138
Practice Address - Street 1:1031 W WILLIAMS ST STE 104
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-3955
Practice Address - Country:US
Practice Address - Phone:919-267-5284
Practice Address - Fax:888-635-6138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-11
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705172Medicaid
NC7705172Medicaid