Richard Butykos DC, Inc.
Organization Active NPI Chiropractor · Dearborn HTS, MI
NPI 1083776124 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1083776124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2815 (MI)
- Legal business name
- RICHARD BUTYKOS DC, INC.
- Practice address
- 19200 Van Born Rd
Dearborn HTS, MI 48125-3203 - Phone
- (313) 278-4420
- Fax
- (313) 563-1300
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Richard Butykos, D.C.
- Title
- President
- Phone
- (313) 278-4420
National Provider Directory
Locations
19200 Van Born Rd
Dearborn Hts, MI 48125
Phone (313) 278-4220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2815 | MI | Yes |
Addresses
Primary practice location
19200 Van Born Rd
Dearborn HTS, MI 48125-3203
Mailing address
19200 Van Born Rd
Dearborn HTS, MI 48125-3203
Phone (313) 278-4420
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95OH251240 | Other | MI | BCBS |
| DR820008 | Other | MI | MCARE |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.