Burgoyne, Paul Xavier

Burgoyne, Paul Xavier is an individual health care provider with primary practice located at 19901 E 10 Mile Rd , Saint Clair Shores MI 48080-1069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burgoyne, Paul Xavier can be contacted via phone (586) 777-1277.

Contact Information

Primary practice address
19901 E 10 Mile Rd Saint Clair Shores MI 48080-1069
Phone: (586) 777-1277
Fax: (586) 777-0106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301065935 Michigan

Profile Details

NPI number 1407823339
LBN Legal business name Burgoyne, Paul Xavier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Sep 28th, 2011 - about 13 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 1407823339 NPPES
Michigan Other 700E031610 BCBS GROUP NUMBER
Michigan Other 0P27380 BCBS GROUP NUMBER
Michigan MEDICAID 4573174 BCBS GROUP NUMBER

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