Individual
CHRISTOPHER D BLANCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
62 MAIN ST, SKOWHEGAN, ME 04976-1198
(207) 858-4844
(207) 858-0348
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 858-4484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA248
ME
363AM0700X
Medical Physician Assistant
Primary
PA248
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023244670
—
ME
Enumeration date
06/09/2009
Last updated
06/30/2023
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