Provider Demographics
NPI:1538229059
Name:BLANCHARD, JANET MAY (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:MAY
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38732 CHAGRIN MILLS COURT
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094
Mailing Address - Country:US
Mailing Address - Phone:440-974-8577
Mailing Address - Fax:
Practice Address - Street 1:6990 LINDSAY DR
Practice Address - Street 2:SUITE #5
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4981
Practice Address - Country:US
Practice Address - Phone:440-974-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0411392086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBLO5035485Medicare ID - Type Unspecified