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Contact Information

CORDARIS O BUTLER
2800 WEST GORE BLVD
LAWTON, OK73505
 Phone: 318-461-7954
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CORDARIS O BUTLER · (Male)

NPI # 1699117796
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2013
Last updated 07/18/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # K083502495
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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