Provider Demographics
NPI:1659173003
Name:BISIGNANO, ANTHONY CRAIG
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:CRAIG
Last Name:BISIGNANO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 N 138TH AVENUE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68142-2100
Mailing Address - Country:US
Mailing Address - Phone:402-699-2922
Mailing Address - Fax:
Practice Address - Street 1:7108 N 138TH AVENUE CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68142-2100
Practice Address - Country:US
Practice Address - Phone:402-699-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH12939263172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver