Blix, Sandra Sloane

Blix, Sandra Sloane is an individual health care provider with primary practice located at 31 N Saint Joseph Ave , Niles MI 49120-2207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Blix, Sandra Sloane can be contacted via phone (269) 687-1879.

Contact Information

Primary practice address
31 N Saint Joseph Ave Niles MI 49120-2207
Phone: (269) 687-1879
Fax: (269) 683-0104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704176326 Michigan

Profile Details

NPI number 1982679080
LBN Legal business name Blix, Sandra Sloane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 10th, 2019 - about 7 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 1982679080 NPPES
Michigan MEDICAID 4299414

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