Butler, Deborah
Butler, Deborah is an individual health care provider with primary practice located at 200 N Lewis St , Lagrange GA 30240-2738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Butler, Deborah can be contacted via phone (706) 887-5787.Contact Information
Primary practice address
200 N Lewis St
Lagrange GA 30240-2738
Phone: (706) 887-5787
Fax: (706) 780-5402
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F0115164 | Georgia |
Profile Details
NPI number | 1891178745 |
---|---|
LBN Legal business name | Butler, Deborah |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2015 |
Last updated | Mar 4th, 2020 - about 4 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 | 1891178745 | NPPES |
Georgia | MEDICAID | 003179729E |
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