Butcher, Michael John
Butcher, Michael John is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , Saint Louis Park MN 55416-2503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Butcher, Michael John can be contacted via phone (952) 993-1000.Contact Information
Primary practice address
3900 Park Nicollet Blvd
Saint Louis Park MN 55416-2503
Phone: (952) 993-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 59342 | Minnesota |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036-134467 | Illinois |
Profile Details
| NPI number | 1467692616 |
|---|---|
| LBN Legal business name | Butcher, Michael John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2009 |
| Last updated | Mar 9th, 2016 - about 10 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 | 1467692616 | NPPES |
| Illinois | MEDICAID | 036134467 |
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