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Individual
ANNE E BUTSCH
Active
Individual
ANNE E BUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000557730
ANTHEM PIN
IN
01
—
000000864546
ECHO - BCBS ID#
IN
01
—
200079040C
ECHO - MEDICAID GROUP
IN
01
—
200859330G
MEDICAID GROUP
IN
01
—
200887810
ECHO - MEDICAID ID
IN
01
—
250470
MEDICARE GROUP
IN
05
—
6410477100
—
KY
Enumeration date
07/15/2006
Last updated
04/07/2015
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