Butler, Jerome Mack
Butler, Jerome Mack is an individual health care provider with primary practice located at 2525 Court Dr , Gastonia NC 28054-2140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Butler, Jerome Mack can be contacted via phone (704) 834-2944.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2006-01706 | North Carolina |
Profile Details
| NPI number | 1346425055 |
|---|---|
| LBN Legal business name | Butler, Jerome Mack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Jul 13th, 2018 - about 7 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 | 1346425055 | NPPES |
| North Carolina | MEDICAID | 5908709 | |
| North Carolina | Other | 205202 | |
| North Carolina | MEDICAID | N01706 |
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