Butler, Willie M

Butler, Willie M is an individual health care provider with primary practice located at 501 Swanson Drive , Thornwood NY 10594. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Butler, Willie M can be contacted via phone (914) 769-3630.

Contact Information

Primary practice address
501 Swanson Drive Thornwood NY 10594
Phone: (914) 769-3630
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 115882 New York

Profile Details

NPI number 1902028426
LBN Legal business name Butler, Willie M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Feb 26th, 2008 - 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 1902028426 NPPES
New York MEDICAID 02276240

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