Shine Butler, Erin Bridget

Shine Butler, Erin Bridget is an sole proprietor health care provider with primary practice located at 7 Tallow Ln , Lake Grove NY 11755-1805. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Shine Butler, Erin Bridget can be contacted via phone (631) 944-1057.

Contact Information

Primary practice address
7 Tallow Ln Lake Grove NY 11755-1805
Phone: (631) 944-1057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 536555041 New York
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1881942852
LBN Legal business name Shine Butler, Erin Bridget
Credentials M.S. ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2012
Last updated Sep 20th, 2012 - about 14 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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