Sallaz, Corrine

Sallaz, Corrine is an individual health care provider with primary practice located at 900 Peeler St , Kalamazoo MI 49008-2380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Sallaz, Corrine can be contacted via phone (269) 345-8618.

Contact Information

Primary practice address
900 Peeler St Kalamazoo MI 49008-2380
Phone: (269) 345-8618
Fax: (269) 345-1508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704241098 Michigan

Profile Details

NPI number 1659346781
LBN Legal business name Sallaz, Corrine
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 14th, 2012 - about 12 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 1659346781 NPPES
Michigan MEDICAID 4871588
Michigan MEDICAID 4573684

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