Butler, Wayne Mitchell
Butler, Wayne Mitchell is an individual health care provider with primary practice located at 740 High St Suite 2001, Williamsport PA 17701-3102. 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, Wayne Mitchell can be contacted via phone (570) 321-3165.Contact Information
Primary practice address
740 High St Suite 2001
Williamsport PA 17701-3102
Phone: (570) 321-3165
Fax: (570) 321-3166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA000270L | Pennsylvania |
Profile Details
| NPI number | 1205801107 |
|---|---|
| LBN Legal business name | Butler, Wayne Mitchell |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Apr 14th, 2022 - about 2 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 | 1205801107 | NPPES |
| Florida | MEDICAID | 104352600 | |
| Florida | Other | YD7WJ |
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