Bukstein, James R.

Bukstein, James R. is an individual health care provider with primary practice located at 8500 Edinbrook Pkwy , Brooklyn Park MN 55443-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bukstein, James R. can be contacted via phone (763) 425-1211.

Contact Information

Primary practice address
8500 Edinbrook Pkwy Brooklyn Park MN 55443-3720
Phone: (763) 425-1211
Fax: (763) 425-6277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23483 Minnesota

Profile Details

NPI number 1366419772
LBN Legal business name Bukstein, James R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Sep 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 1366419772 NPPES
Minnesota MEDICAID 481295600

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