Butler, Russell L
Butler, Russell L is an sole proprietor health care provider with primary practice located at 584 Executive Pl Ste 202 , Fayetteville NC 28305-5183. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Butler, Russell L can be contacted via phone (910) 500-3019.Contact Information
Primary practice address
584 Executive Pl Ste 202
Fayetteville NC 28305-5183
Phone: (910) 500-3019
Fax: (910) 500-3068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | HC5495 | North Carolina |
Profile Details
| NPI number | 1447962410 |
|---|---|
| LBN Legal business name | Butler, Russell L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2022 |
| Last updated | Dec 21st, 2022 - about 3 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 | 1447962410 | NPPES |
| North Carolina | MEDICAID | 84177658 |
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