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JACK BUTLER
NPI 1629594957
Driver in Wise, VA

Active since August 18, 2017
5401 POLE BRIDGE RD, WISE, VA 24293(276) 328-1712 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

About Jack Butler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BUTLER (NPI 1629594957) is an individual driver provider in Wise, Virginia and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1629594957
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameJACK BUTLER
Location Address5401 POLE BRIDGE RDWise, VA 24293-4333
Mailing Address5401 Pole Bridge RdWise, VA 24293-4333 · (276) 328-1712
Phone(276) 328-1712
Sole ProprietorNo
Enumeration DateAugust 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1629594957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
5401 POLE BRIDGE RD, Wise, VA 24293
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Butler's NPI number?

The NPI number for Jack Butler is 1629594957. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Jack Butler located?

Jack Butler practices at 5401 Pole Bridge Rd, Wise, VA 24293. The listed phone number is (276) 328-1712.

What is Jack Butler's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Jack Butler was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.