NPI 1073511812
One Source INC.
Practice location
- Address
- 3004 Bienville Blvd Suite 1, Ocean Springs, MS 39564-4370
- Phone
- (228) 875-3828
Authorised official
- Name
- William Keith Wade
- Title
- Vice President
- Phone
- (228) 875-3828
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1073511812
- Entity type
- Organization
- NPI issued
- 13 Jul 2005
- Record last updated
- 17 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.