Individual
COLLIN M BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7287 HYDE PARK DR APT 205, MIDDLEBURG HEIGHTS, OH 44130-5631
(330) 241-0784
Mailing address
7287 HYDE PARK DR APT 205, MIDDLEBURG HEIGHTS, OH 44130-5631
(330) 241-0784
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
TM626888
OH
3747P1801X
Personal Care Attendant
TM626888
OH
376J00000X
Homemaker
TM626888
OH
Other
Enumeration date
08/26/2024
Last updated
10/10/2024
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