Butler Lisa, Karen

Butler Lisa, Karen is an sole proprietor health care provider with primary practice located at 1100 N 35Th St , Phoenix AZ 85008-5210. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Butler Lisa, Karen can be contacted via phone (602) 381-4665.

Contact Information

Primary practice address
1100 N 35Th St Phoenix AZ 85008-5210
Phone: (602) 381-4665
Fax: (602) 381-4662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1013058759
LBN Legal business name Butler Lisa, Karen
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1013058759 NPPES
Arizona MEDICAID 585094

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