Olmsted, Blake

Olmsted, Blake is an individual health care provider with primary practice located at 6414 U S Highway 98 Ste 80 , Hattiesburg MS 39402-7838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Olmsted, Blake can be contacted via phone (601) 261-1800.

Contact Information

Primary practice address
6414 U S Highway 98 Ste 80 Hattiesburg MS 39402-7838
Phone: (601) 261-1800
Fax: (601) 261-1801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 23912 Mississippi

Profile Details

NPI number 1780948216
LBN Legal business name Olmsted, Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Aug 11th, 2020 - about 6 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 1780948216 NPPES
Mississippi MEDICAID 05583609

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