Blanchard, Matthew

Blanchard, Matthew is an individual health care provider with primary practice located at 15476 Dedeaux Rd Ste B , Gulfport MS 39503-2637. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Blanchard, Matthew can be contacted via phone (228) 230-2663.

Contact Information

Primary practice address
15476 Dedeaux Rd Ste B Gulfport MS 39503-2637
Phone: (228) 230-2663
Fax: (228) 546-3257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X T6835 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 28793 Mississippi
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X T6835 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28793 Mississippi
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X T6835 Texas

Profile Details

NPI number 1043741705
LBN Legal business name Blanchard, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated May 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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