| Blanchette Chiropractic Corp | |
|
151 Callan Ave Ste 201 San Leandro CA 94577-4536 | |
| (510) 567-3756 | |
| Not Available |
| Full Name | Blanchette Chiropractic Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 151 Callan Ave Ste 201, San Leandro, California |
| Authorized Official Name and Position | Corey Andrew Blanchette (CEO) |
| Authorized Official Contact | 5105673756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanchette Chiropractic Corp 218 Arroyo Ave San Leandro CA 94577-2749 Ph: (401) 257-9994 | Blanchette Chiropractic Corp 151 Callan Ave Ste 201 San Leandro CA 94577-4536 Ph: (510) 567-3756 |
| NPI Number | 1982318234 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 7416328810 |
|---|---|
| Medicare Enrollment ID | O20230123001654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982318234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Corey Andrew Blanchette |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740998855 PECOS PAC ID: 8325419724 Enrollment ID: I20230207001707 |
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