Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 24564 | MN |
Y | 2080P0210X | Pediatric Nephrologist | 24564 | MN |
NPI | 1033146188 |
---|---|
Provider Name | Dr. Blanche Marie Chavers |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 18/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0990242 | (05) | IA |
1009067 | PREFERRED ONE (01) | MN |
101071 | UCARE (01) | MN |
2T269CH | BCBS (01) | MN |
31-24777 | MEDICA CHOICE (01) | MN |
31-74532 | MEDICA PRIMARY (01) | MN |
604711 | ARAZ (01) | MN |
689502600 | (05) | MN |
D83756 | (02) | MN |
HP29186 | HEALTHPARTNERS (01) | MN |