Butler, Matthew

Butler, Matthew is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Butler, Matthew can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 10648665-3904 Utah

Profile Details

NPI number 1376080952
LBN Legal business name Butler, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2017
Last updated Mar 17th, 2018 - about 7 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 1376080952 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah Other 000055266 RAILROAD MEDICARE
Utah MEDICAID 8760003008007 RAILROAD MEDICARE

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