Healthcare Provider Details

I. General information

NPI: 1548646045
Provider Name (Legal Business Name): JOSEPH EMILE BLANCHARD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2015
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BALD HILL RD
WARWICK RI
02886-1617
US

IV. Provider business mailing address

15 SUNSET DR
SEEKONK MA
02771-4511
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-1320
  • Fax: 401-737-2120
Mailing address:
  • Phone: 508-639-9468
  • Fax: 401-737-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number273
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: