Butler, Walter Robertson
Butler, Walter Robertson is an individual health care provider with primary practice located at 3430 Newburg Rd Suite 212, Louisville KY 40218-2497. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Butler, Walter Robertson can be contacted via phone (502) 454-8800.Contact Information
Primary practice address
3430 Newburg Rd Suite 212
Louisville KY 40218-2497
Phone: (502) 454-8800
Fax: (502) 736-0140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 28012 | Kentucky |
Profile Details
| NPI number | 1871603886 |
|---|---|
| LBN Legal business name | Butler, Walter Robertson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 19th, 2015 - about 11 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 | 1871603886 | NPPES |
| Kentucky | MEDICAID | 7100102210 |
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