Provider Demographics
NPI:1912062258
Name:BUTLER, ARIC D (DC)
Entity Type:Individual
Prefix:DR
First Name:ARIC
Middle Name:D
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9993 HWY 64
Mailing Address - Street 2:P.O. BOX 508
Mailing Address - City:LEXINGTON
Mailing Address - State:AL
Mailing Address - Zip Code:35648-0508
Mailing Address - Country:US
Mailing Address - Phone:256-229-6992
Mailing Address - Fax:256-229-6688
Practice Address - Street 1:9993 HWY 64
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:AL
Practice Address - Zip Code:35648-3002
Practice Address - Country:US
Practice Address - Phone:256-229-6992
Practice Address - Fax:256-229-6688
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL32701OtherBCBS OF AL
AL1440268OtherHIGHMARK BS
AL3083903OtherBCBS OF TN
ALU70759Medicare UPIN
AL1440268OtherHIGHMARK BS