MEDICARE: MR. BYRON BUTTERFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1518826056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BYRON BUTTERFIELD

Provider Business Mailing Address
First Line	:	1326 S 18TH ST
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47803-4005
Country	:	US
Telephone Number	:	812-870-0066
Fax Number	:

Provider Business Practice Location Address
First Line	:	1326 S 18TH ST
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47803-4005
Country	:	US
Telephone Number	:	812-870-0066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ MR. BYRON BUTTERFIELD ” Practice Location

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