Buttross, Carolyn M

Buttross, Carolyn M is an sole proprietor health care provider with primary practice located at 2112 Bienville Blvd Suite G, Ocean Springs MS 39564-3052. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Buttross, Carolyn M can be contacted via phone (228) 872-7705.

Contact Information

Primary practice address
2112 Bienville Blvd Suite G Ocean Springs MS 39564-3052
Phone: (228) 872-7705
Fax: (228) 872-7746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 06016 Mississippi

Profile Details

NPI number 1558400770
LBN Legal business name Buttross, Carolyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 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 1558400770 NPPES
Mississippi MEDICAID 00018375

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