Butcher, Dennis L

Butcher, Dennis L is an individual health care provider with primary practice located at 555 E Broadway Ave Suite 201, Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Butcher, Dennis L can be contacted via phone (307) 733-7222.

Contact Information

Primary practice address
555 E Broadway Ave Suite 201 Jackson WY 83001-8640
Phone: (307) 733-7222
Fax: (307) 733-9720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2906A Wyoming

Profile Details

NPI number 1750495578
LBN Legal business name Butcher, Dennis L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated May 21st, 2014 - about 11 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 1750495578 NPPES
Wyoming MEDICAID 106601300
Wyoming MEDICAID 116969600

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