Chavers, Blanche Marie
Chavers, Blanche Marie is an individual health care provider with primary practice located at University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis MN 55455. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is her primary health care specialty. Chavers, Blanche Marie can be contacted via phone (612) 672-7122.Contact Information
Primary practice address
University Of Minnesota Physicians 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100
Minneapolis MN 55455
Phone: (612) 672-7122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24564 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 24564 | Minnesota |
Profile Details
| NPI number | 1033146188 |
|---|---|
| LBN Legal business name | Chavers, Blanche Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Apr 18th, 2012 - 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 | 1033146188 | NPPES |
| Minnesota | Other | 31-24777 | MEDICA CHOICE |
| Minnesota | Other | 31-74532 | MEDICA CHOICE |
| Minnesota | Other | HP29186 | MEDICA CHOICE |
| Minnesota | Other | 2T269CH | MEDICA CHOICE |
| Minnesota | Other | 101071 | MEDICA CHOICE |
| Minnesota | MEDICAID | 0990242 | MEDICA CHOICE |
| Minnesota | Other | 1009067 | MEDICA CHOICE |
| Minnesota | MEDICAID | 689502600 | MEDICA CHOICE |
| Minnesota | Other | 604711 | MEDICA CHOICE |
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