Blomberg, Christopher Shane

Blomberg, Christopher Shane is an individual health care provider with primary practice located at 859 Winter St , Lucedale MS 39452-6603. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blomberg, Christopher Shane can be contacted via phone (601) 947-3161.

Contact Information

Primary practice address
859 Winter St Lucedale MS 39452-6603
Phone: (601) 947-3161
Fax: (601) 947-1331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25078 Mississippi

Profile Details

NPI number 1982023149
LBN Legal business name Blomberg, Christopher Shane
Credentials MD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Popular Providers