Slye, Michael J

Slye, Michael J is an individual health care provider with primary practice located at 1954 Fort Union Blvd Ste 114 , Salt Lake City UT 84121-6899. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Slye, Michael J can be contacted via phone (800) 594-5736.

Contact Information

Primary practice address
1954 Fort Union Blvd Ste 114 Salt Lake City UT 84121-6899
Phone: (800) 594-5736
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 308294-4406 Utah

Profile Details

NPI number 1124124961
LBN Legal business name Slye, Michael J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 24th, 2007 - about 17 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 1124124961 NPPES
Utah Other TPRA10458 MOLINA
Utah Other 107027629101 MOLINA
Utah Other 59334 MOLINA
Utah Other 30829444000001 MOLINA
Utah Other 850801 MOLINA
Utah Other 77634 MOLINA
Utah Other QM0000054865 MOLINA

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