Butler Prater, Bethany E

Butler Prater, Bethany E is an individual health care provider with primary practice located at 1061 Harmon Ave Suite 1D03 Cdr Usa Meddac Credentials Office, Fort Stewart GA 31314-5674. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Butler Prater, Bethany E can be contacted via phone (912) 435-6633.

Contact Information

Primary practice address
1061 Harmon Ave Suite 1D03 Cdr Usa Meddac Credentials Office Fort Stewart GA 31314-5674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AP1518 Maine

Profile Details

NPI number 1447249446
LBN Legal business name Butler Prater, Bethany E
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 29th, 2020 - about 5 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 1447249446 NPPES
Maine Other 047949 ANTHEM
Maine MEDICAID 431784799 ANTHEM

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