Individual
SHAWN W BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
9502 HOSPITAL AVE., NASSAWADOX, VA 23413
(757) 710-4224
Mailing address
PO BOX 1064, ONLEY, VA 23418-1064
(757) 787-2311
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101001967
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101001967
HEARING INSTRUMENT SPECIALIST LICENSE
VA
Enumeration date
04/30/2018
Last updated
04/30/2018
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