Butler, Larry Brock

Butler, Larry Brock is an individual health care provider with primary practice located at 130 Cedar Rd , Vista CA 92083-5102. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Butler, Larry Brock can be contacted via phone (760) 806-5500.

Contact Information

Primary practice address
130 Cedar Rd Vista CA 92083-5102
Phone: (760) 806-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60323 California

Profile Details

NPI number 1073138103
LBN Legal business name Butler, Larry Brock
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2020
Last updated Jun 2nd, 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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