Purohit, Sujata
Purohit, Sujata is an individual health care provider with primary practice located at 1116 W Ganson St , Jackson MI 49202-4240. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Purohit, Sujata can be contacted via phone (517) 782-9436.Contact Information
Primary practice address
1116 W Ganson St
Jackson MI 49202-4240
Phone: (517) 782-9436
Fax: (517) 782-5166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301086397 | Michigan |
Profile Details
| NPI number | 1922069939 |
|---|---|
| LBN Legal business name | Purohit, Sujata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Sep 20th, 2018 - about 6 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 | 1922069939 | NPPES |
| Michigan | Other | 180H149970 | BCBSM |
| Michigan | MEDICAID | 4795870 | BCBSM |
| Michigan | MEDICAID | 4795922 | BCBSM |
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