Andy, Orlando J

Andy, Orlando J is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andy, Orlando J can be contacted via phone (601) 268-5660.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5660
Fax: (601) 268-5759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12082 Mississippi

Profile Details

NPI number 1659395838
LBN Legal business name Andy, Orlando J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 7th, 2020 - about 5 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 1659395838 NPPES
Other 020019577 RAILROAD MEDICARE
Other 1558917 RAILROAD MEDICARE
MEDICAID 1419711 RAILROAD MEDICARE
MEDICAID 00112019 RAILROAD MEDICARE

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