Provider Demographics
NPI:1598375529
Name:BLANCHARD NEPHROLOGY LLC
Entity Type:Organization
Organization Name:BLANCHARD NEPHROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-525-3163
Mailing Address - Street 1:655 FOX RUN RD STE C
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8401
Mailing Address - Country:US
Mailing Address - Phone:567-525-3163
Mailing Address - Fax:567-525-3169
Practice Address - Street 1:655 FOX RUN RD STE C
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8401
Practice Address - Country:US
Practice Address - Phone:419-701-9734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty