Butler, Stephen Russell

Butler, Stephen Russell is an individual health care provider with primary practice located at 39 Faunce Corner Rd , Dartmouth MA 02747-4202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Butler, Stephen Russell can be contacted via phone (508) 996-3311.

Contact Information

Primary practice address
39 Faunce Corner Rd Dartmouth MA 02747-4202
Phone: (508) 996-3311
Fax: (508) 997-5352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 154055 Massachusetts

Profile Details

NPI number 1255318721
LBN Legal business name Butler, Stephen Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1255318721 NPPES
Massachusetts MEDICAID 3170896
Massachusetts MEDICAID 9703705

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