NPI 1902557390

Parish Sidney Butler

Practitioner Transportation Broker Indianapolis, IN

Practice location

Address: 5807 Costino Ln, Indianapolis, IN 46254-5964
Phone: (219) 614-3164

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X

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Registry record

NPI: 1902557390
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2022
Record last updated: 17 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.