Butler, Cindy Sue
Butler, Cindy Sue is an individual health care provider with primary practice located at 2002 Brookside Dr Suite102, Kingsport TN 37660-4634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Butler, Cindy Sue can be contacted via phone (423) 245-6000.Contact Information
Primary practice address
2002 Brookside Dr Suite102
Kingsport TN 37660-4634
Phone: (423) 245-6000
Fax: (423) 245-6062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 90068RN | Tennessee |
Profile Details
| NPI number | 1275524381 |
|---|---|
| LBN Legal business name | Butler, Cindy Sue |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 28th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275524381 | NPPES |
| Tennessee | MEDICAID | 3706367 | |
| Tennessee | Other | 4081210 | |
| Tennessee | Other | TN0107 |
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