Mire, Blane A

Mire, Blane A is an individual health care provider with primary practice located at 46 Sergeant Prentiss Dr Suite 300, Natchez MS 39120-4725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mire, Blane A can be contacted via phone (601) 446-7343.

Contact Information

Primary practice address
46 Sergeant Prentiss Dr Suite 300 Natchez MS 39120-4725
Phone: (601) 446-7343
Fax: (601) 445-0833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15913 Mississippi

Profile Details

NPI number 1326082397
LBN Legal business name Mire, Blane A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 2nd, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326082397 NPPES
Mississippi MEDICAID 00119463

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