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Contact Information

CHARLA BUXBAUM, ATC
1216 ORDEAN CT. SPHC 170
UNIVERSITY OF MINNESOTA DULUTH
DULUTH, MN55812
 Phone: 218-726-6624
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CHARLA BUXBAUM · (Female)

NPI Number 1295134088
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/18/2014
Last updated 08/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2424
Hospital affiliation(s) Not Available
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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