Provider Demographics
NPI:1336419241
Name:SINCLAIR BUTTS, JULIA (DPM)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:SINCLAIR BUTTS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MERCHANT STREET
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3740
Mailing Address - Country:US
Mailing Address - Phone:513-533-6507
Mailing Address - Fax:513-645-9767
Practice Address - Street 1:5300 SOCIALVILLE FOSTER RD
Practice Address - Street 2:SUITE 160
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9429
Practice Address - Country:US
Practice Address - Phone:513-844-8585
Practice Address - Fax:513-844-8769
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003739213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN07001216AOtherINDIANA MEDICAL LICENSE
OH36.003739OtherOHIO MEDICAL LICENSE