Butterworth, Greg A
Butterworth, Greg A is an individual health care provider with primary practice located at 920 Revolution St , Havre De Grace MD 21078-3748. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Butterworth, Greg A can be contacted via phone (410) 939-2200.Contact Information
Primary practice address
920 Revolution St
Havre De Grace MD 21078-3748
Phone: (410) 939-2200
Fax: (410) 939-5980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA1619 | Maryland |
Profile Details
| NPI number | 1336116979 |
|---|---|
| LBN Legal business name | Butterworth, Greg A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Nov 2nd, 2021 - about 4 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 | 1336116979 | NPPES |
| Other | P00376361 | MEDICARE RAILROAD |
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