Blanchard, Jerry Dean

Blanchard, Jerry Dean is an individual health care provider with primary practice located at 631 W 12Th Street , Grafton ND 58237-0185. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is his primary health care specialty. Blanchard, Jerry Dean can be contacted via phone (701) 352-1690.

Contact Information

Primary practice address
631 W 12Th Street Grafton ND 58237-0185
Phone: (701) 352-1690
Fax: (701) 352-2258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 311 North Dakota
Chiropractic Providers / Orthopedic 111NX0800X 1610 North Dakota

Profile Details

NPI number 1932275203
LBN Legal business name Blanchard, Jerry Dean
Credentials CHIROPRACTOR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 4th, 2007 - about 17 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 1932275203 NPPES
North Dakota MEDICAID 10544
North Dakota Other 8Z546BL
North Dakota Other 4232

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