Botker, Jesse Cole

Botker, Jesse Cole is an individual health care provider with primary practice located at 1431 Premier Dr , Mankato MN 56001-6076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Botker, Jesse Cole can be contacted via phone (507) 386-6600.

Contact Information

Primary practice address
1431 Premier Dr Mankato MN 56001-6076
Fax: (507) 625-5971
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17798 Minnesota
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A107192 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 52645 Minnesota

Profile Details

NPI number 1780887166
LBN Legal business name Botker, Jesse Cole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 22nd, 2011 - about 14 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 1780887166 NPPES
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 09-03588 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 138248000 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota Other 1780887166 PREFERRED ONE
Minnesota MEDICAID 1780887166 PREFERRED ONE

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