Martin, John Blanchard
Martin, John Blanchard is an individual health care provider with primary practice located at 1215 N Beaver St , Flagstaff AZ 86001-3126. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, John Blanchard can be contacted via phone (928) 773-2200.Contact Information
Primary practice address
1215 N Beaver St
Flagstaff AZ 86001-3126
Phone: (928) 773-2200
Fax: (928) 773-2300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4397 | Arizona |
Profile Details
| NPI number | 1083641237 |
|---|---|
| LBN Legal business name | Martin, John Blanchard |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | May 25th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083641237 | NPPES |
| Wisconsin | Other | 1716-057 | WI LICENSE NUMBER |
| Wisconsin | MEDICAID | 810762 | WI LICENSE NUMBER |
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