Butler, Jacqueline

Butler, Jacqueline is an sole proprietor health care provider with primary practice located at 7120 Valley Ave , Philadelphia PA 19128-3206. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Butler, Jacqueline can be contacted via phone (215) 508-0484.

Contact Information

Primary practice address
7120 Valley Ave Philadelphia PA 19128-3206
Phone: (215) 508-0484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1386173250
LBN Legal business name Butler, Jacqueline
Credentials LEAD CLINICAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2017
Last updated Jun 5th, 2017 - 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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