Blair, Michelle Rae

Blair, Michelle Rae is an individual health care provider with primary practice located at 8161 Warren H Abernathy Hwy , Spartanburg SC 29301-2451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blair, Michelle Rae can be contacted via phone (864) 586-1152.

Contact Information

Primary practice address
8161 Warren H Abernathy Hwy Spartanburg SC 29301-2451
Phone: (864) 586-1152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024177529 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24897 South Carolina

Profile Details

NPI number 1104489111
LBN Legal business name Blair, Michelle Rae
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2019
Last updated Jan 3rd, 2024 - about last year

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 1104489111 NPPES
South Carolina MEDICAID NP7525
South Carolina Other SCK1055019
South Carolina Other SCK1056084
South Carolina Other SCK1056067
South Carolina Other SCK105J577

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