Dr Corey Andrew Blanchette, DC | |
218 Arroyo Ave, San Leandro, CA 94577-2749 | |
(401) 257-9994 | |
Not Available |
Full Name | Dr Corey Andrew Blanchette |
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Gender | Male |
Speciality | Chiropractor |
Location | 218 Arroyo Ave, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740998855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC36482 (California) | Primary |
Provider Name | Blanchette Chiropractic Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982318234 PECOS PAC ID: 7416328810 Enrollment ID: O20230123001654 |
Mailing Address | Practice Location Address |
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Dr Corey Andrew Blanchette, DC 218 Arroyo Ave, San Leandro, CA 94577-2749 Ph: (401) 257-9994 | Dr Corey Andrew Blanchette, DC 218 Arroyo Ave, San Leandro, CA 94577-2749 Ph: (401) 257-9994 |
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