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
Fax: (906) 225-3032
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619934106 NPPES
Michigan MEDICAID 4811392
Michigan Other 381358036011
Michigan Other P00339817

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