Blomenberg, Elizabeth A
Blomenberg, Elizabeth A is an individual health care provider with primary practice located at 601 John St Box 74, Kalamazoo MI 49007-5341. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Blomenberg, Elizabeth A can be contacted via phone (269) 341-8481.Contact Information
Primary practice address
601 John St Box 74
Kalamazoo MI 49007-5341
Phone: (269) 341-8481
Fax: (269) 341-7781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1427211945 |
|---|---|
| LBN Legal business name | Blomenberg, Elizabeth A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2008 |
| Last updated | Mar 17th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427211945 | NPPES |
| Michigan | Other | 1417961137 | BCBS - BRONSON |
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