Provider Demographics
NPI:1861492555
Name:BUTLER, PAUL W
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:BUTLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 CENTRAL AVE
Mailing Address - Street 2:SUITE N
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3434
Mailing Address - Country:US
Mailing Address - Phone:603-749-2266
Mailing Address - Fax:603-749-3019
Practice Address - Street 1:750 CENTRAL AVE
Practice Address - Street 2:SUITE N
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3434
Practice Address - Country:US
Practice Address - Phone:603-749-2266
Practice Address - Fax:603-749-3019
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5769208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81024183Medicaid
NHD03472Medicare UPIN
NHNH4183Medicare ID - Type Unspecified