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JESSE V BUTLER, PA-C – NPI #1376557769
Surgical

NPI Profile for JESSE V BUTLER in DECORAH, IA.

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Contact Information

JESSE V BUTLER, PA-C
901 MONTGOMERY ST
DECORAH, IA  52101-2325
 Phone: 563-382-2911
 Fax: 563-387-1512
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgical

 363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JESSE V BUTLER · (Male)

NPI # 1376557769
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/28/2006
Last updated 03/08/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10116
  • IA Medicaid 0446294
  • IA Other 001606 LICENSE
  • MN Other 10116 LICENSE
Hospital affiliation(s)
  • WINNESHIEK MEDICAL CENTER - (Critical Access)
    901 MONTGOMERY STREET
    DECORAH, IA 52101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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