Burch, Olivia Carsyn
Burch, Olivia Carsyn is an individual health care provider with primary practice located at 1529 Simpson Highway 49 Ste A , Magee MS 39111-4209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burch, Olivia Carsyn can be contacted via phone (601) 439-7288.Contact Information
Primary practice address
1529 Simpson Highway 49 Ste A
Magee MS 39111-4209
Phone: (601) 439-7288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 903579 | Mississippi |
Profile Details
| NPI number | 1982247888 |
|---|---|
| LBN Legal business name | Burch, Olivia Carsyn |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2019 |
| Last updated | Jun 10th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982247888 | NPPES |
| Mississippi | MEDICAID | 07839287 | |
| Mississippi | Other | 1P5842 | |
| Mississippi | Other | 903579 |
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