Butz, Gerald W

Butz, Gerald W is an individual health care provider with primary practice located at 710 Saint Anne St , Rapid City SD 57701-4670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Butz, Gerald W can be contacted via phone (605) 348-4100.

Contact Information

Primary practice address
710 Saint Anne St Rapid City SD 57701-4670
Fax: (605) 348-0662
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 2297 South Dakota

Profile Details

NPI number 1013027655
LBN Legal business name Butz, Gerald W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 21st, 2008 - about 16 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 1013027655 NPPES
South Dakota MEDICAID 7500082
South Dakota Other S440
South Dakota Other 0000440
South Dakota Other 23142
South Dakota Other 310276
South Dakota Other 23142
South Dakota Other 2297

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