Butler, Jason D.

Butler, Jason D. is an individual health care provider with primary practice located at 1 Southtowne Dr , Potosi MO 63664-5729. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Butler, Jason D. can be contacted via phone (735) 438-9355.

Contact Information

Primary practice address
1 Southtowne Dr Potosi MO 63664-5729
Phone: (735) 438-9355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2003002337 Missouri

Profile Details

NPI number 1417073297
LBN Legal business name Butler, Jason D.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Apr 3rd, 2018 - about 6 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 1417073297 NPPES
Missouri MEDICAID 424914307

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