Benjamin A Burroughs in Detroit - Physician Assistant
Benjamin A Burroughs - NPI 1174740229
Benjamin A Burroughs is a Physician Assistant in Detroit, Michigan. Benjamin A Burroughs practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Benjamin A Burroughs is 1174740229. The last update date is 2023-10-25.
Benjamin A Burroughs's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139162695 and fax number 3139162687. The mailing address for Benjamin A Burroughs is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin A Burroughs |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139162695 |
| Fax Number | 3139162687 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1174740229 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2023-10-25 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139162695 |
| Fax Number | 3139162687 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003662 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81471378 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Benjamin A Burroughs by the Centers for Medicare & Medicaid Services?
The Benjamin A Burroughs has been issued the NPI (National Provider Identifier) 1174740229 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Benjamin A Burroughs is geographically located?
The Benjamin A Burroughs is physically situated at the following location: 2799 W Grand Blvd, Detroit, MI, 482022608.
What is Benjamin A Burroughs's area of expertise and its corresponding taxonomy classification?
The Benjamin A Burroughs's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1174740229 assigned to Benjamin A Burroughs?
The Benjamin A Burroughs was issued its 1174740229 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Benjamin A Burroughs's details last updated?
The information pertaining to the Benjamin A Burroughs, including its address, specialty, and other details, was most recently updated on 2023-10-25.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY