Butkus, Brian Anthony
Butkus, Brian Anthony is an individual health care provider with primary practice located at 1001 E Superior St Suite L201, Duluth MN 55802-2207. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Butkus, Brian Anthony can be contacted via phone (218) 249-3057.Contact Information
Primary practice address
1001 E Superior St Suite L201
Duluth MN 55802-2207
Phone: (218) 249-3057
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9987 | Minnesota |
Profile Details
NPI number | 1013967538 |
---|---|
LBN Legal business name | Butkus, Brian Anthony |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Feb 18th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013967538 | NPPES |
Minnesota | MEDICAID | 819684200 |
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