Provider Demographics
NPI:1730759093
Name:BIANCHI-ROSSI, BIANCA (DC)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:BIANCHI-ROSSI
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 HIGHWAY 96 E STE 102
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-3651
Mailing Address - Country:US
Mailing Address - Phone:763-999-4340
Mailing Address - Fax:
Practice Address - Street 1:7945 STONE CREEK DR STE 120
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4606
Practice Address - Country:US
Practice Address - Phone:952-300-8338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor