Butler, John C

Butler, John C is an individual health care provider with primary practice located at 3930 Northwoods Dr Mail Stop 32800A, Arden Hills MN 55112-6974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Butler, John C can be contacted via phone (651) 490-6700.

Contact Information

Primary practice address
3930 Northwoods Dr Mail Stop 32800A Arden Hills MN 55112-6974
Phone: (651) 490-6700
Fax: (651) 490-6730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29204 Minnesota

Profile Details

NPI number 1780653949
LBN Legal business name Butler, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 5th, 2011 - about 15 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 1780653949 NPPES
Minnesota MEDICAID 286582300

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