Bantle, John Peter
Bantle, John Peter is an individual health care provider with primary practice located at 516 Delaware Street Univ. Of Mn Phyisicians, Pwb Sixth Floor, Clinic 6A, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Bantle, John Peter can be contacted via phone (612) 625-8690.Contact Information
Primary practice address
516 Delaware Street Univ. Of Mn Phyisicians, Pwb Sixth Floor, Clinic 6A
Minneapolis MN 55455
Phone: (612) 625-8690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21141 | Minnesota |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 21141 | Minnesota |
Profile Details
| NPI number | 1851336101 |
|---|---|
| LBN Legal business name | Bantle, John Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Apr 2nd, 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 | 1851336101 | NPPES |
| Minnesota | Other | 2T126BA | BCBS |
| Minnesota | Other | 101020 | BCBS |
| Minnesota | MEDICAID | 188798000 | BCBS |
| Minnesota | Other | 33-24523 | BCBS |
| Minnesota | Other | 768007 | BCBS |
| Minnesota | Other | 1008861 | BCBS |
| Minnesota | Other | HP22057 | BCBS |
| Minnesota | Other | 33-70012 | BCBS |
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