Blevens, Alexander Drake

Blevens, Alexander Drake is an individual health care provider with primary practice located at 3635 Bienville Blvd , Ocean Springs MS 39564-5711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Blevens, Alexander Drake can be contacted via phone (228) 875-1849.

Contact Information

Primary practice address
3635 Bienville Blvd Ocean Springs MS 39564-5711
Phone: (228) 875-1849
Fax: (228) 875-6257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14536 Mississippi
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 14536 Mississippi

Profile Details

NPI number 1508890765
LBN Legal business name Blevens, Alexander Drake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1508890765 NPPES
Mississippi MEDICAID 00117064

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