Duncan-Butler, Susan Olive
Duncan-Butler, Susan Olive is an individual health care provider with primary practice located at 3614 Providence Rd S Ste 101 , Waxhaw NC 28173-6309. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Duncan-Butler, Susan Olive can be contacted via phone (704) 384-8460.Contact Information
Primary practice address
3614 Providence Rd S Ste 101
Waxhaw NC 28173-6309
Phone: (704) 384-8460
Fax: (704) 384-8771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2001-00861 | North Carolina |
Profile Details
| NPI number | 1184621534 |
|---|---|
| LBN Legal business name | Duncan-Butler, Susan Olive |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Oct 25th, 2020 - about 6 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 | 1184621534 | NPPES |
| North Carolina | Other | NC8802C | MEDICARE |
| North Carolina | Other | 130U1 | MEDICARE |
| North Carolina | MEDICAID | 1184621534 | MEDICARE |
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