Blix, Gregor W

Blix, Gregor W is an individual health care provider with primary practice located at 601 John St Suite M206, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blix, Gregor W can be contacted via phone (269) 349-9745.

Contact Information

Primary practice address
601 John St Suite M206 Kalamazoo MI 49007-5341
Phone: (269) 349-9745
Fax: (269) 488-8305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301055608 Michigan

Profile Details

NPI number 1285672493
LBN Legal business name Blix, Gregor W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Oct 31st, 2014 - about 10 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 1285672493 NPPES
Michigan MEDICAID 2999262-10
Michigan Other 3403905962
Michigan Other 4348862
Michigan Other 111368
Michigan Other 340C910480

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