Butvilas, Keith

Butvilas, Keith is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Butvilas, Keith can be contacted via phone (417) 820-2115.

Contact Information

Primary practice address
1235 E Cherokee St Springfield MO 65804-2203
Phone: (417) 820-2115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP60128085 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3697 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036100436 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2019033217 Missouri

Profile Details

NPI number 1427021559
LBN Legal business name Butvilas, Keith
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 6th, 2019 - about 5 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 1427021559 NPPES
Illinois MEDICAID 1571745
Illinois Other IL0181
Illinois Other 99321
Illinois MEDICAID 0571745
Illinois MEDICAID 1427021559
Illinois Other 1427021559
Illinois MEDICAID 1427021559
Illinois MEDICAID 1427021559
Illinois Other 362739299-001
Illinois Other 99320

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