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Contact Information

MISTY M BLANCHETTE PORTER, MD
1 MEDICAL CENTER DR
DEPARTMENT OB/GYN
LEBANON, NH03756-1000
 Phone: 603-653-9240
 Fax: 802-650-0905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MISTY M BLANCHETTE PORTER · (Female)

NPI # 1467477380
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 09/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 8749
  • VT License # 042-0008516
  • NH Medicaid 80003976
  • VT Medicaid 0VN092
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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