Provider Demographics
NPI:1972570950
Name:BUTLER, ALLEN HELMS (MD)
Entity Type:Individual
Prefix:
First Name:ALLEN
Middle Name:HELMS
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 LOWELL DR SE
Mailing Address - Street 2:SUITE3
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3748
Mailing Address - Country:US
Mailing Address - Phone:256-265-7940
Mailing Address - Fax:256-265-7939
Practice Address - Street 1:401 LOWELL DR SE
Practice Address - Street 2:SUITE3
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3748
Practice Address - Country:US
Practice Address - Phone:256-265-7940
Practice Address - Fax:256-265-7939
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14725207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004282311OtherAETNA
AL510-87884OtherBCBS OF AL
AL510-87884OtherBCBS OF AL
AL000087884Medicare ID - Type Unspecified