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Contact Information

JACOB E BUTLER, LPC
100 DIVISION ST
CANADIAN, OK74425-9750
 Phone: 405-430-3030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JACOB E BUTLER · (Male)

NPI Number 1184176091
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 10/26/2016
Last updated 08/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # BACU03012013-1
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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