Gordon Butler, Ann-Marie
Gordon Butler, Ann-Marie is an individual health care provider with primary practice located at 9 Elliot Pl , Palm Coast FL 32164-6246. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gordon Butler, Ann-Marie can be contacted via phone (904) 444-5300.Contact Information
Primary practice address
9 Elliot Pl
Palm Coast FL 32164-6246
Phone: (904) 444-5300
Fax: (904) 615-8285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA7630 | Florida |
Profile Details
| NPI number | 1386860708 |
|---|---|
| LBN Legal business name | Gordon Butler, Ann-Marie |
| Credentials | M.A., CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Mar 12th, 2024 - about 2 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 | 1386860708 | NPPES |
| Florida | MEDICAID | 1386860708 |
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