Butler, Matthew
Butler, Matthew is an individual health care provider with primary practice located at 165 Vann St Ne , Marietta GA 30060-7249. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Butler, Matthew can be contacted via phone (770) 422-9856.Contact Information
Primary practice address
165 Vann St Ne
Marietta GA 30060-7249
Phone: (770) 422-9856
Fax: (770) 984-0303
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT007068 | Georgia |
Profile Details
NPI number | 1548246879 |
---|---|
LBN Legal business name | Butler, Matthew |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2005 |
Last updated | Apr 5th, 2013 - about 11 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 | 1548246879 | NPPES |
Georgia | Other | 0940220002 | DMERC |
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