Blythe, Michael

Blythe, Michael is an individual health care provider with primary practice located at 2102 Idaho St , Elko NV 89801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Blythe, Michael can be contacted via phone (775) 389-5777.

Contact Information

Primary practice address
2102 Idaho St Elko NV 89801
Phone: (775) 389-5777
Fax: (775) 360-3602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8797967-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8797967-8906 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1983 Nevada

Profile Details

NPI number 1013346410
LBN Legal business name Blythe, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2013
Last updated Mar 14th, 2024 - about 2 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 1013346410 NPPES
Nevada MEDICAID 1013346410

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