MEDICARE: FRANK BUTTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	2201000015	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851368930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK BUTTS

Provider Business Mailing Address
First Line	:	204 N HAMILTON ST
Second Line	:	SUITE 3
City	:	RICHMOND
State	:	VA
Zip	:	23221-2662
Country	:	US
Telephone Number	:	804-358-7992
Fax Number	:	804-358-8606

Provider Business Practice Location Address
First Line	:	204 N HAMILTON ST
Second Line	:	SUITE 3
City	:	RICHMOND
State	:	VA
Zip	:	23221-2662
Country	:	US
Telephone Number	:	804-358-7992
Fax Number	:	804-358-8606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/08/2007

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Directions to “ FRANK BUTTS ” Practice Location

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