Butcher, Colleen
Butcher, Colleen is an sole proprietor health care provider with primary practice located at 1600 Rockland Rd , Wilmington DE 19803. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Butcher, Colleen can be contacted via phone (302) 651-4200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | B1-0001147 | Delaware |
Profile Details
| NPI number | 1467845495 |
|---|---|
| LBN Legal business name | Butcher, Colleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2015 |
| Last updated | Jan 30th, 2019 - about 5 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 | 1467845495 | NPPES |
| New Jersey | MEDICAID | 0640867 | |
| New Jersey | MEDICAID | 193534800 | |
| New Jersey | MEDICAID | 103268468 |
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