Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK BUTLER
ActiveJACK BUTLER is a Driver healthcare provider located in WISE, Virginia. NPI 1629594957 is currently active in the NPPES registry. Verify at CMS.
Driver · WISE, VA
Registration Details
- NPI Number
- 1629594957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2017 (9.0071357686078 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
5401 POLE BRIDGE RDWISE, VA, 242934333Browse VA providers · Browse ZIP 24293
- Phone
- 2763281712
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in WISE, VA
| Name | Credential | NPI |
|---|---|---|
| ROSETTA COLLINS | — | 1447776836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.