Jack Butler is a Driver based in Wise, VA. Jack Butler practices in Wise, VA. The NPI Number for Jack Butler is 1629594957 and holds a License No. (Virginia).
The current practice location address for Jack Butler is 5401 Pole Bridge Rd, Wise, VA and can be reached out via phone at 276-328-1712.
Location: 5401 Pole Bridge Rd, Wise, VA, 24293-4333
Provider Profile Details
NPI Number
1629594957
Provider Name
Jack Butler
Credential
Provider Entity Type
Individual
Gender
Male
Address
5401 Pole Bridge Rd, Wise, VA, 24293-4333
Phone Number
276-328-1712
Fax Number
Provider Enumeration Date
08/18/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
5401 Pole Bridge Rd
City
State
Zip
24293-4333
Phone Number
276-328-1712
Fax Number
Provider Business Mailing Address Details
Address
5401 Pole Bridge Rd
City
State
Zip
24293-4333
Phone Number
276-328-1712
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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