Butkus, Staci Lynn
Butkus, Staci Lynn is an individual health care provider with primary practice located at 109 Plaza Dr , Saint Clairsville OH 43950-7713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Butkus, Staci Lynn can be contacted via phone (740) 695-5200.Contact Information
Primary practice address
109 Plaza Dr
Saint Clairsville OH 43950-7713
Phone: (740) 695-5200
Fax: (740) 695-8037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.11975 | Ohio |
Profile Details
| NPI number | 1306147640 |
|---|---|
| LBN Legal business name | Butkus, Staci Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2010 |
| Last updated | May 5th, 2020 - 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 | 1306147640 | NPPES |
| West Virginia | MEDICAID | 3810019462 | |
| West Virginia | MEDICAID | 3122356 |
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