Matherne, Blake

Matherne, Blake is an individual health care provider with primary practice located at 3420 Bienville Blvd , Ocean Springs MS 39564-5732. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Matherne, Blake can be contacted via phone (228) 875-3937.

Contact Information

Primary practice address
3420 Bienville Blvd Ocean Springs MS 39564-5732
Phone: (228) 875-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28777 Mississippi

Profile Details

NPI number 1265933626
LBN Legal business name Matherne, Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2018
Last updated Apr 12th, 2023 - about last year

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 1265933626 NPPES
Mississippi MEDICAID 00772323

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