Mrs. Rachael L Blea, PA-C
Physician Assistant, Medical in South Lyon, Michigan
1982110722- Practice location
- 12660 Ten Mile RD, South Lyon, MI 48178-9141
- Phone
- 248-348-1131
- Fax
- 248-348-1171
- Last updated
- September 28, 2021
Rachael Lynn Blea is a Physician Assistant, Medical based in South Lyon, MI. Rachael Lynn Blea practices in South Lyon, MI and has the professional credentials of PA-C. The NPI Number for Rachael Lynn Blea is 1982110722 and holds a License No. 0005225 (CO). The current practice location address for Rachael Lynn Blea is 12660 Ten Mile RD, South Lyon, MI 48178-9141 and can be reached out via phone at 248-348-1131 and via fax at 248-348-1171.
Provider Profile Details
- NPI Number
- 1982110722
- Provider Name
- Rachael Lynn Blea
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12660 Ten Mile RD, South Lyon, MI 48178-9141
- Phone Number
- 248-348-1131
- Fax Number
- 248-348-1171
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 15, 2017
- Last Update Date
- September 28, 2021
- Certification Date
- September 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12660 Ten Mile RD
South Lyon, MI 48178-9141 - City
- South Lyon
- State
- Michigan
- Zip
- 48178-9141
- Phone Number
- 248-348-1131
- Fax Number
- 248-348-1171
Provider Business Mailing Address Details
- Address
- Po Box 27420
Belfast, ME 04915-2026 - City
- Belfast
- State
- ME
- Zip
- 04915-2026
- Phone Number
- 586-216-7423
- Fax Number
- 248-327-1261
License Information
- License Number (1)
- 0005225
- License State (1)
- CO
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 5601010532
- License State (2)
- MI
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near South Lyon, MI
View all Physician Assistant, Medical providers in South Lyon →Frequently Asked Questions
What is the NPI number of Mrs. Rachael L Blea, PA-C?
The NPI number of Mrs. Rachael L Blea, PA-C is 1982110722. It was assigned on December 15, 2017 and is currently active in the NPPES registry.
What is the specialty of Mrs. Rachael L Blea, PA-C?
Mrs. Rachael L Blea, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CO under license number 0005225.
Where does Mrs. Rachael L Blea, PA-C practice?
The practice location is 12660 Ten Mile RD, South Lyon, MI 48178-9141. The office can be reached at 248-348-1131 (phone) or 248-348-1171 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982110722 directly on the NPPES registry website.