Butler, Teresa Kay

Butler, Teresa Kay is an individual health care provider with primary practice located at 901 S Main St , Grove OK 74344-2845. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Butler, Teresa Kay can be contacted via phone (918) 786-4140.

Contact Information

Primary practice address
901 S Main St Grove OK 74344-2845
Phone: (918) 786-4140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12107 Oklahoma

Profile Details

NPI number 1376858845
LBN Legal business name Butler, Teresa Kay
Credentials Doctor of Public Health (DPH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2010
Last updated Mar 23rd, 2016 - about 8 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 1376858845 NPPES
Oklahoma MEDICAID 200287880A

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