Provider Demographics
NPI:1639204449
Name:BUTLER, APRIL J (DC)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:J
Last Name:BUTLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 LINDSAY AVE
Mailing Address - Street 2:
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-3102
Mailing Address - Country:US
Mailing Address - Phone:843-479-6102
Mailing Address - Fax:843-479-6103
Practice Address - Street 1:102 LINDSAY AVE
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-3102
Practice Address - Country:US
Practice Address - Phone:843-479-6102
Practice Address - Fax:843-479-6103
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8676111N00000X
SC4369111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70215OtherBCBS
FLU99434Medicare UPIN
FL70215OtherBCBS