Blalock, Harold Jason

Blalock, Harold Jason is an individual health care provider with primary practice located at 501 Marshall St. Suite 301 , Jackson MS 39202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blalock, Harold Jason can be contacted via phone (601) 353-9900.

Contact Information

Primary practice address
501 Marshall St. Suite 301 Jackson MS 39202
Phone: (601) 353-9900
Fax: (601) 353-3654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 17167 Mississippi

Profile Details

NPI number 1730118696
LBN Legal business name Blalock, Harold Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 1st, 2019 - 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 1730118696 NPPES
Mississippi MEDICAID 0124443
Mississippi Other 02701951231
Mississippi Other 340019033
Mississippi Other 13012

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