| Robert V. Blanche M.d. Llc | |
|
7865 Jefferson Hwy Suite D Baton Rouge LA 70809-1384 | |
| (225) 928-2468 | |
| (225) 928-2498 |
| Full Name | Robert V. Blanche M.d. Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7865 Jefferson Hwy, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Robert V Blanche (OWNER) |
| Authorized Official Contact | 2259282468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert V. Blanche M.d. Llc 9655 Perkins Rd C-104 Baton Rouge LA 70810-1533 Ph: (225) 928-2468 | Robert V. Blanche M.d. Llc 7865 Jefferson Hwy Suite D Baton Rouge LA 70809-1384 Ph: (225) 928-2468 |
| NPI Number | 1295082162 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 08/10/2012 |
| Medicare PECOS PAC ID | 0749433621 |
|---|---|
| Medicare Enrollment ID | O20121228000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295082162 | NPI | - | NPPES |
| 1353086 | Medicaid | LA | |
| 50802 | Other | LA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert V Blanche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457575334 PECOS PAC ID: 7315980174 Enrollment ID: I20090224000285 |
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