Blanchard, Jason

Blanchard, Jason is an individual health care provider with primary practice located at 1605 E Broadway Ste 110 , Columbia MO 65201-8023. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Blanchard, Jason can be contacted via phone (573) 815-8130.

Contact Information

Primary practice address
1605 E Broadway Ste 110 Columbia MO 65201-8023
Phone: (573) 815-8130
Fax: (573) 815-8149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2018022799 Missouri

Profile Details

NPI number 1457747271
LBN Legal business name Blanchard, Jason
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Mar 13th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457747271 NPPES
Indiana MEDICAID 1457747271

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