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NPI Code Detail

MEDICARE: DR. JASON ALLEN BUTZIN DC

MEDICARE:  DR. JASON ALLEN BUTZIN  DC
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
1111N00000XChiropractorJB008115MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780791145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON ALLEN BUTZIN DC
Provider Business Mailing Address
First Line : 2050 CHESLEY DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-4818
Country : US
Telephone Number : 586-268-8882
Fax Number : 586-268-5305
Provider Business Practice Location Address
First Line : 27322 23 MILE RD STE 3
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-2032
Country : US
Telephone Number : 586-598-9120
Fax Number : 586-598-9155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 12/05/2016

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Directions to “ DR. JASON ALLEN BUTZIN DC” Practice Location

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