Buetikofer, Jeffrey A

Buetikofer, Jeffrey A is an individual health care provider with primary practice located at 2315 Myrtle Street Suite 190, Erie PA 16502-4604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Buetikofer, Jeffrey A can be contacted via phone (814) 453-7767.

Contact Information

Primary practice address
2315 Myrtle Street Suite 190 Erie PA 16502-4604
Phone: (814) 453-7767
Fax: (814) 454-6667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD041659L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD041659L Pennsylvania

Profile Details

NPI number 1285612010
LBN Legal business name Buetikofer, Jeffrey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 29th, 2020 - about 4 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 1285612010 NPPES
Pennsylvania MEDICAID 0012063690007

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