Doctor Name: | DR. MICHAEL ALLEN BUTTENOB |
NPI Number: | 1033220645 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CHIROPRACTOR |
License Number: | CE003674 |
Business Practice Address: | 101 B N Bus 60 Mansfield, MO - 657040045 |
Business Phone Number: | 4179243302 |
Business Fax Number: | 4179248684 |
Mailing Address: | Po Box 45, 101 B N Bus 60 MANSFIELD |
State: | MO |
Postal Code: | 657040045 |
Phone Number: | 4179243302 |
Fax Number: | 4179248684 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CE003674 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |