Provider Demographics
NPI:1871307207
Name:BUTLER, ERNEST WILLIAM
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:WILLIAM
Last Name:BUTLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 HAYES ST NE APT 301
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-7552
Mailing Address - Country:US
Mailing Address - Phone:301-260-5491
Mailing Address - Fax:
Practice Address - Street 1:250 K ST NE APT 615
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8219
Practice Address - Country:US
Practice Address - Phone:202-341-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant