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Contact Information

CHARLS G BUTTERICK, P.A.C.
157 TOWNE AVE
PLAINFIELD, VT05667-9425
 Phone: 802-454-8336
 Fax: 802-454-8339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHARLS G BUTTERICK · (Male)

NPI Number 1902854201
Status Active
Credentials P.A.C.
Entity Individual
Enumeration date 05/05/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 055-0030661
  • VT Medicaid 0008900
  • VT Other 055-0030661 LICENSE
  • VT Other 367491 MVP
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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