Skubitz, Keith Mitchell
Skubitz, Keith Mitchell is an individual health care provider with primary practice located at 424 Harvard Street Se Masonic Cancer Center, First Floor, Suite M100, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Skubitz, Keith Mitchell can be contacted via phone (612) 625-5411.Contact Information
Primary practice address
424 Harvard Street Se Masonic Cancer Center, First Floor, Suite M100
Minneapolis MN 55455
Phone: (612) 625-5411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23896 | Minnesota |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 23896 | Minnesota |
Profile Details
| NPI number | 1215019203 |
|---|---|
| LBN Legal business name | Skubitz, Keith Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 29th, 2012 - about 13 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 | 1215019203 | NPPES |
| North Dakota | MEDICAID | 10387 | |
| North Dakota | Other | 36-00013 | |
| North Dakota | Other | 597099 | |
| North Dakota | MEDICAID | 30713600 | |
| North Dakota | Other | 2T180SK | |
| North Dakota | MEDICAID | 7777470 | |
| North Dakota | Other | 100796 | |
| North Dakota | MEDICAID | 757873300 | |
| North Dakota | Other | 36-00276 | |
| North Dakota | Other | 1009310 | |
| North Dakota | Other | HP22239 |
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