Provider Demographics
NPI:1952314015
Name:BLASINGAME, VALERIE (DC)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:BLASINGAME
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:OH
Mailing Address - Zip Code:45828-1219
Mailing Address - Country:US
Mailing Address - Phone:419-678-7746
Mailing Address - Fax:419-678-1327
Practice Address - Street 1:201 N MILL ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:OH
Practice Address - Zip Code:45828-1219
Practice Address - Country:US
Practice Address - Phone:419-678-7746
Practice Address - Fax:419-678-1327
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU68614Medicare UPIN
OH0838381Medicare ID - Type UnspecifiedMEDICARE NUMBER