Sandra K Aldridge, PA-C
Individual provider Active NPI Medical Physician Assistant · Riverview, MI
NPI 1164513362 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1164513362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601002840 (MI)
- Practice address
- 19020 Fort St
Riverview, MI 48193-6701 - Phone
- (734) 362-5100
- Fax
- (734) 362-5147
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601002840 | MI | Yes |
Addresses
Primary practice location
19020 Fort St
Riverview, MI 48193-6701
Mailing address
19020 Fort St
Riverview, MI 48193-6701
Phone (734) 362-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601002840 | Other | MI | STATE LICENSE NUMBER |
Other providers in Riverview, MI
- Obaidullah Farooq Ahmad
- Saadia Ahmad
- Akhtar Husain, MD PC
- Zahra Al-Jemelawy
- Zahraa Al-Khalil
- Angels of the Heart
- Ankle and Footcare Specialists PLC
- Apex Physical Therapy & Rehab, LLC
- Douglas William Armstrong
- Arv Assisted Living, Inc.
All providers in Riverview, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.