Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101017319 | MI |
N | 111NI0900X | Internist | 5101017319 | MI |
Y | 207RP1001X | Pulmonary Disease | 34.010825 | OH |
NPI | 1023215803 |
---|---|
Provider Name | Dr. Christopher Robert Butler |
First Address | Cincinnati, OH 45224-1327 |
Second Address | Cincinnati, OH 45224-1327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 26/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0085718 | (05) | OH |