Jessica Blanco Md Pc

LBN: Jessica Blanco Md Pc
Jessica Blanco Md Pc is an health care organization with primary practice located at 5505 W Chandler Blvd Ste.#B-13, Chandler AZ 85226-3683. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jessica Blanco Md Pc can be contacted via phone (480) 361-4780, or through Blanco, Jessica via phone (480) 361-4780.

Contact Information

Primary practice address
5505 W Chandler Blvd Ste.#B-13 Chandler AZ 85226-3683
Phone: (480) 361-4780
Fax: (480) 361-4781
Website:
Map and Directions
Authorized official contact:
Name: Blanco, Jessica Doctor of Medicine (MD)
Phone: (480) 361-4780

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 29242 Arizona

Profile Details

NPI number 1669642401
LBN Legal business name Jessica Blanco Md Pc
DBA Doing business as
Authorized official Blanco, Jessica Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Mar 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669642401 NPPES
Arizona MEDICAID 764284

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