Bicanich, Barry William
Bicanich, Barry William is an sole proprietor health care provider with primary practice located at 3404 University Ave Se # 3406 , Minneapolis MN 55414-3328. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bicanich, Barry William can be contacted via phone (612) 331-4529.Contact Information
Primary practice address
3404 University Ave Se # 3406
Minneapolis MN 55414-3328
Phone: (612) 331-4529
Fax: (612) 331-4148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2106 | Minnesota |
Profile Details
| NPI number | 1568560860 |
|---|---|
| LBN Legal business name | Bicanich, Barry William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568560860 | NPPES |
| Minnesota | Other | 29320BI | BLUE CROSS PIN |
| Minnesota | Other | 01448BI | BLUE CROSS PIN |
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