National Provider Identifier Database

OMNIVERSE PLASTIKOS PA
Plastic and Reconstructive Surgery


Contact Information

OMNIVERSE PLASTIKOS PA
14 PROFESSIONAL PKWY
SUITE C
RIDGELAND, MS39157-4190
Phone: 601-824-1492
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Plastic Surgery Within the Head and Neck 2082S0099X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for OMNIVERSE PLASTIKOS PA

NPI Number 1871724500
Legal business name
LBN
OMNIVERSE PLASTIKOS PA
Authorized official ARNO SCHLEICH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/29/2009
Last updated 12/20/2010 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 20023

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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