Butler, Jackie M
Butler, Jackie M is an individual health care provider with primary practice located at 5209 W Wendover Ave , High Point NC 27265-9177. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Butler, Jackie M can be contacted via phone (336) 812-8645.Contact Information
Primary practice address
5209 W Wendover Ave
High Point NC 27265-9177
Phone: (336) 812-8645
Fax: (336) 812-8652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 153 | North Carolina |
Profile Details
| NPI number | 1033237961 |
|---|---|
| LBN Legal business name | Butler, Jackie M |
| Credentials | CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1033237961 | NPPES |
| North Carolina | MEDICAID | 6110523 |
Popular Providers
-
Sprinkle, Danny James
320 Boulevard St , High Point NC 27262-3802 -
Smith, Sylvester R.
803 Taylor Ave , High Point NC 27260-7369 -
Elliott, Karen Austin
232 Woodrow Ave , High Point NC 27262-4039 -
Davis, Cheryl Newell
5209 W Wendover Ave , High Point NC 27265-9177 -
Kearney, Georgia
211 S Centennial St , High Point NC 27260-5215 -
Brockmann, Carolyn Thompson
2240 Setliff Dr , High Point NC 27265-8011 -
Kixmiller, Scott G.
3755 Admiral Dr Ste 105A , High Point NC 27265-1554 -
Hughes, Leland S.
102 Chestnut St. , High Point NC 27262-6804