Provider Demographics
NPI:1346244233
Name:BUTTERFIELD, MICHAEL D (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:BUTTERFIELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:D
Other - Last Name:BUTTERFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:420 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:IN
Mailing Address - Zip Code:47452-1113
Mailing Address - Country:US
Mailing Address - Phone:812-865-3052
Mailing Address - Fax:812-865-3206
Practice Address - Street 1:420 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:IN
Practice Address - Zip Code:47452-1113
Practice Address - Country:US
Practice Address - Phone:812-865-3052
Practice Address - Fax:812-865-3206
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001389A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100194910Medicaid
IN000000092007OtherANTHEM
IN100194910Medicaid
IN601140Medicare PIN