Blanchette Porter, Misty Marie

Blanchette Porter, Misty Marie is an individual health care provider with primary practice located at 1 Medical Center Dr Department Ob/Gyn, Lebanon NH 03756-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Blanchette Porter, Misty Marie can be contacted via phone (603) 653-9240.

Contact Information

Primary practice address
1 Medical Center Dr Department Ob/Gyn Lebanon NH 03756-1000
Phone: (603) 653-9240
Fax: (802) 650-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 8749 New Hampshire
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 042-0008516 Vermont

Profile Details

NPI number 1467477380
LBN Legal business name Blanchette Porter, Misty Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467477380 NPPES
Vermont MEDICAID 0VN092
Vermont MEDICAID 80003976

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