Xavier R Butler, SUB-IDC
Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut
1487537874- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 501-502-3115
- Fax
- —
- Last updated
- July 31, 2025
Xavier Rasheed Butler is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Xavier Rasheed Butler practices in Groton, CT and has the professional credentials of SUB-IDC. The NPI Number for Xavier Rasheed Butler is 1487537874. The current practice location address for Xavier Rasheed Butler is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 501-502-3115.
Provider Profile Details
- NPI Number
- 1487537874
- Provider Name
- Xavier Rasheed Butler
- Credential
- SUB-IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 501-502-3115
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 31, 2025
- Last Update Date
- July 31, 2025
- Certification Date
- July 31, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 501-502-3115
Provider Business Mailing Address Details
- Address
- 108 Litton Ave
Groton, CT 06340-4555 - City
- Groton
- State
- CT
- Zip
- 06340-4555
- Phone Number
- 501-502-3115
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Xavier R Butler, SUB-IDC?
The NPI number of Xavier R Butler, SUB-IDC is 1487537874. It was assigned on July 31, 2025 and is currently active in the NPPES registry.
What is the specialty of Xavier R Butler, SUB-IDC?
Xavier R Butler, SUB-IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).
Where does Xavier R Butler, SUB-IDC practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 501-502-3115 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487537874 directly on the NPPES registry website.