Osowa, Benjamin O

Osowa, Benjamin O is an individual health care provider with primary practice located at 18263 E 10 Mile Rd Suite E, Roseville MI 48066-5805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Osowa, Benjamin O can be contacted via phone (586) 552-8696.

Contact Information

Primary practice address
18263 E 10 Mile Rd Suite E Roseville MI 48066-5805
Phone: (586) 552-8696
Fax: (586) 552-4404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301062528 Michigan

Profile Details

NPI number 1053305110
LBN Legal business name Osowa, Benjamin O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 3rd, 2013 - about 12 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 1053305110 NPPES
Michigan Other 609344516 DOL/WORKERS COMP GROUP NUMBER
Michigan MEDICAID 1053305110 DOL/WORKERS COMP GROUP NUMBER
Michigan Other 159065 DOL/WORKERS COMP GROUP NUMBER
Michigan Other 5493662 DOL/WORKERS COMP GROUP NUMBER
Michigan Other BO062528 DOL/WORKERS COMP GROUP NUMBER
Michigan Other 700E031610 DOL/WORKERS COMP GROUP NUMBER
Michigan Other 700E012740 DOL/WORKERS COMP GROUP NUMBER
Michigan Other P00386958 DOL/WORKERS COMP GROUP NUMBER

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