Provider Demographics
NPI:1962433730
Name:BUTLER, DON R (DC)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:R
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1802 DEARBORN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-7706
Mailing Address - Country:US
Mailing Address - Phone:406-728-5114
Mailing Address - Fax:406-728-8121
Practice Address - Street 1:1802 DEARBORN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-7706
Practice Address - Country:US
Practice Address - Phone:406-728-5114
Practice Address - Fax:406-728-8121
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT595111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0162448Medicaid
MT0163436Medicaid
MT0163436Medicaid
MT0162448Medicaid
MT000004558Medicare PIN