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Contact Information

SOUTHGATE ALLIED ANESTHESIA PLLC
13460 FORT ST
SOUTHGATE, MI48195-1138
 Phone: 313-263-5961
 Fax: 313-263-5963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for SOUTHGATE ALLIED ANESTHESIA PLLC · (Female)

NPI # 1689046070
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2015
Last updated 10/24/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4704090801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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