Butterworth, G. Nathan

Butterworth, G. Nathan is an individual health care provider with primary practice located at 1975 Virginia Ave , Martinsville VA 24112-8388. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Butterworth, G. Nathan can be contacted via phone (276) 647-3937.

Contact Information

Primary practice address
1975 Virginia Ave Martinsville VA 24112-8388
Fax: (276) 647-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001415 Virginia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1944 North Carolina

Profile Details

NPI number 1114928934
LBN Legal business name Butterworth, G. Nathan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jun 10th, 2019 - about 7 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 1114928934 NPPES
Virginia MEDICAID 010103282

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