Healthcare Provider Details

I. General information

NPI: 1851368930
Provider Name (Legal Business Name): FRANK BUTTS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N HAMILTON ST SUITE 3
RICHMOND VA
23221-2662
US

IV. Provider business mailing address

204 N HAMILTON ST SUITE 3
RICHMOND VA
23221-2662
US

V. Phone/Fax

Practice location:
  • Phone: 804-358-7992
  • Fax: 804-358-8606
Mailing address:
  • Phone: 804-358-7992
  • Fax: 804-358-8606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2201000015
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: