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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 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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