Butler, Jonathan W
Butler, Jonathan W is an individual health care provider with primary practice located at 17840 Cumberland Rd , Noblesville IN 46060-5409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Butler, Jonathan W can be contacted via phone (317) 574-1254.Contact Information
Primary practice address
17840 Cumberland Rd
Noblesville IN 46060-5409
Phone: (317) 574-1254
Fax: (317) 674-0060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26897 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01070077A | Indiana |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 01070077A | Indiana |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 26897 | Tennessee |
Profile Details
| NPI number | 1386753325 |
|---|---|
| LBN Legal business name | Butler, Jonathan W |
| Credentials | MD, M.ED. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 9th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386753325 | NPPES |
| Tennessee | Other | 4121708 | BLUE CROSS BLUE SHILD |
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