Butcher, Mark Andrew

Butcher, Mark Andrew is an individual health care provider with primary practice located at 1650 Cowles St , Fairbanks AK 99701-5925. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, which is considered as his primary health care specialty. Butcher, Mark Andrew can be contacted via phone (907) 458-5650.

Contact Information

Primary practice address
1650 Cowles St Fairbanks AK 99701-5925
Phone: (907) 458-5650
Fax: (907) 456-8050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology 246Q00000X 3632 Alaska

Profile Details

NPI number 1881646495
LBN Legal business name Butcher, Mark Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 9th, 2010 - 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 1881646495 NPPES
Alaska MEDICAID MD3632
Alaska Other 220022619

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