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Contact Information

MATTHEW BLANCHARD, MD
15476 DEDEAUX RD STE B
GULFPORT, MS39503-2637
 Phone: 228-230-2663
 Fax: 228-546-3257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MATTHEW BLANCHARD · (Male)

NPI # 1043741705
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2017
Last updated 05/28/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 28793
  • TX License # T6835
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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