Healthcare Provider Details

I. General information

NPI: 1396593653
Provider Name (Legal Business Name): BUTLER MEDICAL PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2024
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DOCTORS LN STE 300
CLARION PA
16214-8568
US

IV. Provider business mailing address

PO BOX 1549
BUTLER PA
16003-1549
US

V. Phone/Fax

Practice location:
  • Phone: 814-226-1396
  • Fax: 814-226-1497
Mailing address:
  • Phone: 724-968-5868
  • Fax: 724-284-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: KAREN ALLEN
Title or Position: PRESIDENT
Credential:
Phone: 724-284-4689