Butler, Charles Rodney
Butler, Charles Rodney is an individual health care provider with primary practice located at 100 Freeman Dr , Saint Peter MN 56082-3504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Butler, Charles Rodney can be contacted via phone (507) 931-7125.Contact Information
Primary practice address
100 Freeman Dr
Saint Peter MN 56082-3504
Phone: (507) 931-7125
Fax: (507) 931-7126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39742 | Minnesota |
Profile Details
| NPI number | 1417058066 |
|---|---|
| LBN Legal business name | Butler, Charles Rodney |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | May 14th, 2014 - 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 | 1417058066 | NPPES |
| Minnesota | MEDICAID | 672025100 | |
| Minnesota | Other | 1417058066 | |
| Minnesota | Other | 228G3BU |
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