Butts, Jimmy Charles

Butts, Jimmy Charles is an individual health care provider with primary practice located at 1840 Owen Dr Suite 102, Fayetteville NC 28304-1633. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Butts, Jimmy Charles can be contacted via phone (910) 484-2645.

Contact Information

Primary practice address
1840 Owen Dr Suite 102 Fayetteville NC 28304-1633
Phone: (910) 484-2645
Fax: (910) 484-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1932254489
LBN Legal business name Butts, Jimmy Charles
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Feb 5th, 2016 - about 9 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 1932254489 NPPES
North Carolina MEDICAID 7795000

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