Butler, Marguerite Vasshti
Butler, Marguerite Vasshti is an sole proprietor health care provider with primary practice located at 2120 Park Ave , Minneapolis MN 55404-3378. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Butler, Marguerite Vasshti can be contacted via phone (651) 774-0011.Contact Information
Primary practice address
2120 Park Ave
Minneapolis MN 55404-3378
Phone: (651) 774-0011
Fax: (651) 774-0606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4506 | Minnesota |
Profile Details
| NPI number | 1215998166 |
|---|---|
| LBN Legal business name | Butler, Marguerite Vasshti |
| Credentials | PH.D., L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Aug 23rd, 2023 - about 2 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 | 1215998166 | NPPES |
| Minnesota | MEDICAID | 996488600 |
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