Butchbaker Family Practice PLLC
Organization Active NPI Family Medicine Physician · Coldwater, MI
NPI 1609967652 · NPPES record last updated Jan 7, 2010
Key facts
- NPI
- 1609967652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101013510 (MI)
- Legal business name
- BUTCHBAKER FAMILY PRACTICE PLLC
- Practice address
- 235 E Chicago St Ste 2
Coldwater, MI 49036-1789 - Phone
- (517) 278-6411
- Fax
- (517) 278-4331
- NPI assigned
- Sep 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BUTCHBAKER FAMILY PRACTICE PLLC
Authorized official
- Name
- Dr. Angela Kaye Butchbaker, D.O.
- Title
- Owner Physican
- Phone
- (517) 278-6411
National Provider Directory
- Part of
- Butchbaker Family Prac PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 5101013510 | MI | Yes |
Addresses
Primary practice location
235 E Chicago St Ste 2
Coldwater, MI 49036-1789
Mailing address
235 E Chicago St Ste 2
Coldwater, MI 49036-1789
Phone (517) 278-6411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4198064-11 | Medicaid | MI |
Other providers in Coldwater, MI
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- C&M Compassionate Care PLLC
- Ashley Calabrese
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All providers in Coldwater, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2010. 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.