Sy, Bertrand Olavides
Sy, Bertrand Olavides is an individual health care provider with primary practice located at 151 Thames Ave , Bay St Louis MS 39520-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sy, Bertrand Olavides can be contacted via phone (228) 467-1320.Contact Information
Primary practice address
151 Thames Ave
Bay St Louis MS 39520-5002
Phone: (228) 467-1320
Fax: (228) 467-3233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 09048 | Mississippi |
Profile Details
| NPI number | 1962495895 |
|---|---|
| LBN Legal business name | Sy, Bertrand Olavides |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1962495895 | NPPES |
| Mississippi | MEDICAID | 00019303 |
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