Wellformed AI

NPI 1902854201 · live from the CMS NPI Registry

Charls G Butterick, P.A.C.

Physician Assistant, Medical in Plainfield, VT. National Provider Identifier 1902854201, active.

NPI record

NPI1902854201 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location157 Towne Ave, Plainfield, VT 05667
Practice phone802-454-8336
Mailing addressPo Box 320, Plainfield, VT 05667
EnumeratedMay 5, 2006
Last updatedMarch 7, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical primary363AM0700X055-0030661 (VT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.