Blixt, Elizabeth Kate

Blixt, Elizabeth Kate is an individual health care provider with primary practice located at 1900 Centracare Cir Suite 2575, St Cloud MN 56303-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Blixt, Elizabeth Kate can be contacted via phone (320) 229-4924.

Contact Information

Primary practice address
1900 Centracare Cir Suite 2575 St Cloud MN 56303-5000
Phone: (320) 229-4924
Fax: (320) 229-4971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 56812 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 107024 Minnesota

Profile Details

NPI number 1487900577
LBN Legal business name Blixt, Elizabeth Kate
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2012
Last updated Jun 14th, 2016 - about 8 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 1487900577 NPPES
Minnesota Other P01238261 RAILROAD MEDICARE

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