Butz, Susan Ashlie Doorenbos
Butz, Susan Ashlie Doorenbos is an individual health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Butz, Susan Ashlie Doorenbos can be contacted via phone (952) 883-1000.Contact Information
Primary practice address
3800 Park Nicollet Blvd
St Louis Park MN 55416-2527
Phone: (952) 883-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9644 | Minnesota |
Profile Details
| NPI number | 1144282666 |
|---|---|
| LBN Legal business name | Butz, Susan Ashlie Doorenbos |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Mar 31st, 2016 - about 8 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 | 1144282666 | NPPES |
| Minnesota | MEDICAID | 413399400 |
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