Butler, John
Butler, John is an sole proprietor health care provider with primary practice located at 1808 Rose St , Wichita Falls TX 76301-4219. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Butler, John can be contacted via phone (940) 723-4488.Contact Information
Primary practice address
1808 Rose St
Wichita Falls TX 76301-4219
Phone: (940) 723-4488
Fax: (940) 723-0446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16346 | Texas |
Profile Details
| NPI number | 1417956632 |
|---|---|
| LBN Legal business name | Butler, John |
| Credentials | LMSW, ACP, PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Oct 9th, 2012 - about 12 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 | 1417956632 | NPPES |
| Texas | Other | 120905 | SUPERIOR |
| Texas | Other | 7173124 | SUPERIOR |
| Texas | Other | 120905 | SUPERIOR |
| Texas | Other | 200869 | SUPERIOR |
| Texas | Other | 136320 | SUPERIOR |
| Texas | Other | 64688 | SUPERIOR |
| Texas | Other | 255185 | SUPERIOR |
| Texas | Other | 00508E | SUPERIOR |
| Texas | MEDICAID | 063891801 | SUPERIOR |
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