Butler, Jesse Paul
Butler, Jesse Paul is an sole proprietor health care provider with primary practice located at 1120 N Melvin St , Gibson City IL 60936-1477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Butler, Jesse Paul can be contacted via phone (217) 784-4340.Contact Information
Primary practice address
1120 N Melvin St
Gibson City IL 60936-1477
Phone: (217) 784-4340
Fax: (217) 784-2360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 036-094206 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-094206 | Illinois |
Profile Details
| NPI number | 1205888385 |
|---|---|
| LBN Legal business name | Butler, Jesse Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | May 30th, 2024 - about 6 months 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 | 1205888385 | NPPES |
| Illinois | Other | IL3794001 | MEDICARE PTAN |
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