Butler, Abida B.

Butler, Abida B. is an individual health care provider with primary practice located at Hsc T16 020, Stony Brook NY 11794-8160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Butler, Abida B. can be contacted via phone (631) 444-8478.

Contact Information

Primary practice address
Hsc T16 020 Stony Brook NY 11794-8160
Fax: (631) 444-7546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11514R Louisiana

Profile Details

NPI number 1982683173
LBN Legal business name Butler, Abida B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Feb 17th, 2017 - about 7 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 1982683173 NPPES
Mississippi MEDICAID 00124691
Mississippi Other P00803002
Mississippi Other G6438
Mississippi MEDICAID 1669962

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