Barbour, Edmund Martin

Barbour, Edmund Martin is an sole proprietor health care provider with primary practice located at 939 Mohawk St , Dearborn MI 48124-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Barbour, Edmund Martin can be contacted via phone (313) 562-2247.

Contact Information

Primary practice address
939 Mohawk St Dearborn MI 48124-1505
Fax: (313) 792-1846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 028846 Michigan

Profile Details

NPI number 1114039526
LBN Legal business name Barbour, Edmund Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1114039526 NPPES
Michigan MEDICAID 1051532

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