Butkiewicz, Elise
Butkiewicz, Elise is an individual health care provider with primary practice located at 33 Overlook Rd 103, Summit NJ 07901-3570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Butkiewicz, Elise can be contacted via phone (908) 522-5700.Contact Information
Primary practice address
33 Overlook Rd 103
Summit NJ 07901-3570
Phone: (908) 522-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA06301400 | New Jersey |
Profile Details
| NPI number | 1023196979 |
|---|---|
| LBN Legal business name | Butkiewicz, Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 4th, 2013 - about 12 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 | 1023196979 | NPPES |
| New Jersey | Other | 953197N2Z | BCBS |
| New Jersey | MEDICAID | 7297904 | BCBS |
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