Surrell, James A
Surrell, James A is an individual health care provider with primary practice located at 580 W College Ave , Marquette MI 49855-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Surrell, James A can be contacted via phone (906) 225-3424.Contact Information
Primary practice address
580 W College Ave
Marquette MI 49855-2705
Phone: (906) 225-3424
Fax: (906) 225-3032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 4301043677 | Michigan |
Profile Details
| NPI number | 1619934106 |
|---|---|
| LBN Legal business name | Surrell, James A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Mar 3rd, 2008 - about 17 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 | 1619934106 | NPPES |
| Michigan | MEDICAID | 4811392 | |
| Michigan | Other | 381358036011 | |
| Michigan | Other | P00339817 |
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