Burandt, Timothy M
Burandt, Timothy M is an sole proprietor health care provider with primary practice located at 5400 Fort St Suite #150, Trenton MI 48183-4632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burandt, Timothy M can be contacted via phone (734) 671-3678.Contact Information
Primary practice address
5400 Fort St Suite #150
Trenton MI 48183-4632
Phone: (734) 671-3678
Fax: (734) 671-3679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101008170 | Michigan |
Profile Details
| NPI number | 1336156603 |
|---|---|
| LBN Legal business name | Burandt, Timothy M |
| Credentials | DO, FACOS, FACS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 10th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336156603 | NPPES |
| Michigan | MEDICAID | 2953577 | |
| Michigan | Other | M97860002 |
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