Butler, Trey M

Butler, Trey M is an sole proprietor health care provider with primary practice located at 2700 Mcclelland Blvd Bldg. C, Suite 304, Joplin MO 64804-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Butler, Trey M can be contacted via phone (417) 781-9000.

Contact Information

Primary practice address
2700 Mcclelland Blvd Bldg. C, Suite 304 Joplin MO 64804-1623
Phone: (417) 781-9000
Fax: (417) 781-5704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 100647 Missouri

Profile Details

NPI number 1639129422
LBN Legal business name Butler, Trey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Apr 25th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639129422 NPPES
Missouri Other 474892 ANTHEM BC MISSOURI
Missouri Other 700845 ANTHEM BC MISSOURI
Missouri MEDICAID 100119790A ANTHEM BC MISSOURI
Missouri MEDICAID 100147330A ANTHEM BC MISSOURI
Missouri MEDICAID 206735706 ANTHEM BC MISSOURI

Popular Providers