Provider Demographics
NPI:1164673612
Name:NOELLE BUTLER, ND, LLC
Entity Type:Organization
Organization Name:NOELLE BUTLER, ND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:406-595-3344
Mailing Address - Street 1:2100 FAIRWAY DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-5814
Mailing Address - Country:US
Mailing Address - Phone:406-595-3344
Mailing Address - Fax:406-587-2328
Practice Address - Street 1:2100 FAIRWAY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-5814
Practice Address - Country:US
Practice Address - Phone:406-595-3344
Practice Address - Fax:406-587-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT114175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty