National Provider Identifier Database

OUTREACH PROFESSIONAL SERVICES INC
Rheumatology

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


NPI Profile & details for OUTREACH PROFESSIONAL SERVICES INC

NPI Number 1558543215
Legal business name
LBN
OUTREACH PROFESSIONAL SERVICES INC
Authorized official MISTY BLAYLOCK - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 12/04/2007
Last updated 01/12/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 0251856

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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