Butler, Michael C.

Butler, Michael C. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Emergency Medicine, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Butler, Michael C. can be contacted via phone (508) 421-1400.

Contact Information

Primary practice address
55 Lake Ave N Department Of Emergency Medicine Worcester MA 01655-0002
Fax: (508) 421-1490
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 155324 Massachusetts

Profile Details

NPI number 1558352922
LBN Legal business name Butler, Michael C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 26th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558352922 NPPES
Massachusetts MEDICAID 3191079

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