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Contact Information

ROBERT BUTLER
201 LINCOLN ST
TWIN FALLS, ID83301-5252
 Phone: 435-419-0210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ROBERT BUTLER · (Male)

NPI Number 1255970976
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2019
Last updated 01/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 63366
Hospital affiliation(s)
  • ST LUKES MAGIC VALLEY RMC - (Acute Care)
    801 POLE LINE ROAD WEST
    TWIN FALLS, ID 83301
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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