Provider Demographics
NPI:1770626533
Name:BUTTON, DARLENE KAY (DC, MAC)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:KAY
Last Name:BUTTON
Suffix:
Gender:F
Credentials:DC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2979 MEADOWDALE LANE
Mailing Address - Street 2:
Mailing Address - City:METAMORA
Mailing Address - State:MI
Mailing Address - Zip Code:48455-9366
Mailing Address - Country:US
Mailing Address - Phone:734-642-5624
Mailing Address - Fax:734-822-0155
Practice Address - Street 1:696 N. MILL STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4744
Practice Address - Country:US
Practice Address - Phone:734-642-5624
Practice Address - Fax:734-822-0155
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002260111N00000X
MI5401000048171100000X
MI5402000115171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950H232010OtherBCBS
MIU74587Medicare UPIN
MI0M59210Medicare PIN