Butcher, Pamela S

Butcher, Pamela S is an individual health care provider with primary practice located at 645 Kanawha Ave , Rainelle WV 25962-1013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Butcher, Pamela S can be contacted via phone (304) 438-6188.

Contact Information

Primary practice address
645 Kanawha Ave Rainelle WV 25962-1013
Phone: (304) 438-6188
Fax: (304) 438-6819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1829 West Virginia

Profile Details

NPI number 1730172297
LBN Legal business name Butcher, Pamela S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Aug 27th, 2012 - about 14 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 1730172297 NPPES
West Virginia Other 7652215 AETNA
West Virginia Other H22519 AETNA
West Virginia Other 1713064 AETNA
West Virginia MEDICAID 1802427000 AETNA
West Virginia Other 80190394 AETNA

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