Butanis, Jessica M
Butanis, Jessica M is an individual health care provider with primary practice located at 610 30Th Ave W , Alexandria MN 56308-3426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Butanis, Jessica M can be contacted via phone (320) 763-5123.Contact Information
Primary practice address
610 30Th Ave W
Alexandria MN 56308-3426
Phone: (320) 763-5123
Fax: (320) 763-7883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 61656 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R10068 | Iowa |
Profile Details
| NPI number | 1003220799 |
|---|---|
| LBN Legal business name | Butanis, Jessica M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2014 |
| Last updated | Jan 23rd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003220799 | NPPES |
| Minnesota | Other | H400413191 | MEDICARE |
| Minnesota | MEDICAID | 1003220799 | MEDICARE |
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