Butler, Thomas Richard

Butler, Thomas Richard is an individual health care provider with primary practice located at Womack Army Medical Center , Ft Bragg NC 28307-2639. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Butler, Thomas Richard can be contacted via phone (910) 907-8962.

Contact Information

Primary practice address
Womack Army Medical Center Ft Bragg NC 28307-2639
Phone: (910) 907-8962
Fax: (910) 907-8087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101534 North Carolina

Profile Details

NPI number 1861481145
LBN Legal business name Butler, Thomas Richard
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 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 1861481145 NPPES
North Carolina MEDICAID R40054

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