Provider Demographics
NPI:1801595459
Name:BLANFORD, JAMES ANREW (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANREW
Last Name:BLANFORD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOONSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21713-1017
Mailing Address - Country:US
Mailing Address - Phone:240-648-3030
Mailing Address - Fax:240-648-3031
Practice Address - Street 1:28 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONSBORO
Practice Address - State:MD
Practice Address - Zip Code:21713-1017
Practice Address - Country:US
Practice Address - Phone:410-507-0646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor