Butts, Bernard

Butts, Bernard is an individual health care provider with primary practice located at 210 E Cottonwood Ln , Casa Grande AZ 85222-2514. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Butts, Bernard can be contacted via phone (520) 836-1688.

Contact Information

Primary practice address
210 E Cottonwood Ln Casa Grande AZ 85222-2514
Phone: (520) 836-1688
Fax: (520) 876-1796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10497 Arizona

Profile Details

NPI number 1528143625
LBN Legal business name Butts, Bernard
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
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 1528143625 NPPES
Arizona Other LISAC-10497 LISAC

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