Butler, Robert Chad

Butler, Robert Chad is an individual health care provider with primary practice located at 2608 Main St Unit B , Conway SC 29526-3760. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Butler, Robert Chad can be contacted via phone (843) 488-2501.

Contact Information

Primary practice address
2608 Main St Unit B Conway SC 29526-3760
Phone: (843) 488-2501
Fax: (843) 488-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3690 South Carolina

Profile Details

NPI number 1962545350
LBN Legal business name Butler, Robert Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 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 1962545350 NPPES
South Carolina MEDICAID ZX3690
South Carolina MEDICAID ZA9564

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