Sarah Elizabeth Bleyenberg in Grand Rapids - Physician Assistant
Sarah Elizabeth Bleyenberg - NPI 1174504088
Sarah Elizabeth Bleyenberg is a Physician Assistant in Grand Rapids, Michigan. Sarah Elizabeth Bleyenberg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sarah Elizabeth Bleyenberg is 1174504088. The last update date is 2021-12-29.
Sarah Elizabeth Bleyenberg's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163913431 and fax number 6163912783. The mailing address for Sarah Elizabeth Bleyenberg is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sarah Elizabeth Bleyenberg |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6163913431 |
| Fax Number | 6163912783 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174504088 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6163913431 |
| Fax Number | 6163912783 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004504 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Sarah Elizabeth Bleyenberg by the Centers for Medicare & Medicaid Services (CMS)?
The Sarah Elizabeth Bleyenberg has been assigned the NPI (National Provider Identifier) 1174504088. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Sarah Elizabeth Bleyenberg?
The Sarah Elizabeth Bleyenberg is physically situated at 100 Michigan St Ne, in the city of Grand Rapids, state of MI, with the postal code 495032560.
What is the Sarah Elizabeth Bleyenberg's specialty and taxonomy code?
The Sarah Elizabeth Bleyenberg's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Sarah Elizabeth Bleyenberg's 1174504088 issued?
The Sarah Elizabeth Bleyenberg's 1174504088 was issued on 2005-11-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1174504088 to Sarah Elizabeth Bleyenberg?
The Sarah Elizabeth Bleyenberg received its 1174504088 assignment from the Centers for Medicare & Medicaid Services on 2005-11-08.