Blanchfield, Maryjane

Blanchfield, Maryjane is an individual health care provider with primary practice located at 224 4Th St Nw Suite 5, Devils Lake ND 58301-2960. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Blanchfield, Maryjane can be contacted via phone (701) 662-6776.

Contact Information

Primary practice address
224 4Th St Nw Suite 5 Devils Lake ND 58301-2960
Phone: (701) 662-6776
Fax: (701) 662-6889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 603 North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1881767960
LBN Legal business name Blanchfield, Maryjane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 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 1881767960 NPPES
North Dakota Other 22354 BCBSND
North Dakota MEDICAID 19153 BCBSND
North Dakota Other 58301-A002 BCBSND
North Dakota Other 62-56618 BCBSND

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