MR. EZRA JAY MORROW PHYSICIAN ASSISTANT NPI 1740396639

NPI Information

  • NPI: 1740396639
  • Provider Name: MR. EZRA JAY MORROW, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 4646 JOHN R ST
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 576-1000

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NPI Details

MR. Ezra Jay Morrow, PHYSICIAN ASSISTANT is a surgical physician assistant in Detroit, MI. MR. Ezra Jay Morrow, PHYSICIAN ASSISTANT NPI is 1740396639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4646 JOHN R ST
DETROIT, MI
ZIP 48201-916
Phone: (313) 576-1000

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical5601002061MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023802OTHERMICHIGANNCCPA CERTIFICATION #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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