Boufford, Timothy Peter

Boufford, Timothy Peter is an individual health care provider with primary practice located at 15855 19 Mile Rd Henry Ford Macomb, Clinton Twp MI 48038-3504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Boufford, Timothy Peter can be contacted via phone (734) 464-0887.

Contact Information

Primary practice address
15855 19 Mile Rd Henry Ford Macomb Clinton Twp MI 48038-3504
Phone: (734) 464-0887
Fax: (734) 402-0254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301062476 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301062476 Michigan

Profile Details

NPI number 1811991177
LBN Legal business name Boufford, Timothy Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 8th, 2014 - about 12 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 1811991177 NPPES
Michigan Other 70-0-F32947-0 BCBS CPIN #
Michigan MEDICAID 4846333 BCBS CPIN #
Michigan Other 1811991177 BCBS CPIN #
Michigan Other TB062476 BCBS CPIN #

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