Blanchard, Charles William
Blanchard, Charles William is an sole proprietor health care provider with primary practice located at 3205 Arrowhead Rd , Las Cruces NM 88011-4786. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Blanchard, Charles William can be contacted via phone (575) 521-1725.Contact Information
Primary practice address
3205 Arrowhead Rd
Las Cruces NM 88011-4786
Phone: (575) 521-1725
Fax: (575) 521-1725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 622 | New Mexico |
Profile Details
| NPI number | 1992928469 |
|---|---|
| LBN Legal business name | Blanchard, Charles William |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jan 14th, 2011 - about 13 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 | 1992928469 | NPPES |
| New Mexico | MEDICAID | 000F4193 |
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