Burkam, Benjamin Jacob

Burkam, Benjamin Jacob is an individual health care provider with primary practice located at 697 Thomas Ln , Columbus OH 43214-3931. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Burkam, Benjamin Jacob can be contacted via phone (614) 566-5414.

Contact Information

Primary practice address
697 Thomas Ln Columbus OH 43214-3931
Phone: (614) 566-5414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.121349 Ohio

Profile Details

NPI number 1164717260
LBN Legal business name Burkam, Benjamin Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jan 25th, 2022 - 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 1164717260 NPPES
Ohio MEDICAID 0122464

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