Organization
BLANCHARDS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY DEAN BLANCHARD D.C. (OWNER)
(701) 352-1690
Entity
Organization
Contact information
Practice address
631 W 12TH STREET, GRAFTON, ND 58237
(701) 352-1690
(701) 352-2258
Mailing address
PO BOX 185, GRAFTON, ND 58237-0185
(701) 352-1690
(701) 352-2258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
311
ND
111N00000X
Chiropractor
565
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00574001
BLUE CROSS NORTH DAKOTA
OK
01
—
92466BL
BLUE SHIELD MINNESOTA
MN
Enumeration date
08/29/2007
Last updated
03/31/2011
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