Individual
DR. JACK BUTTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 S MAIN ST, ROSEVILLE, OH 43777-1284
(740) 697-7373
(740) 697-7683
Mailing address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
(740) 454-4653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35045078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019419
ANTHEM PIN
OH
01
—
000000177535
UNISON PIN
OH
01
—
0197989
UHC PIN
OH
05
—
0437021
—
OH
01
—
080002140
MEDICARE RAILROAD
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
311413469030
CARESOURCE PIN
OH
01
—
BU0499444
MEDICARE PTAN
—
01
—
CA1586
GROUP MEDICARE RAILROAD
—
Enumeration date
12/14/2005
Last updated
08/19/2008
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