Butler, J Clark

Butler, J Clark is an individual health care provider with primary practice located at 210 Village Center Blvd Suite 200, Myrtle Beach SC 29579-6683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Butler, J Clark can be contacted via phone (843) 353-3460.

Contact Information

Primary practice address
210 Village Center Blvd Suite 200 Myrtle Beach SC 29579-6683
Phone: (843) 353-3460
Fax: (843) 353-3461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 18062 South Carolina

Profile Details

NPI number 1649236118
LBN Legal business name Butler, J Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 20th, 2022 - about 2 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 1649236118 NPPES
North Carolina MEDICAID 890608R
North Carolina MEDICAID T18424

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