Burroughs, Benjamin A

Burroughs, Benjamin A is an individual health care provider with primary practice located at 2799 W. Grand Blvd , K-14 Henry Ford Cardiac Surgery Pofessional Building, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Burroughs, Benjamin A can be contacted via phone (313) 916-2695.

Contact Information

Primary practice address
2799 W. Grand Blvd , K-14 Henry Ford Cardiac Surgery Pofessional Building Detroit MI 48202
Phone: (313) 916-2695
Fax: (313) 916-2687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5601003662 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003662 Michigan

Profile Details

NPI number 1174740229
LBN Legal business name Burroughs, Benjamin A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Oct 25th, 2023 - about 3 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 1174740229 NPPES
New Mexico MEDICAID 81471378

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