Busch-Devereaux, Erna
Busch-Devereaux, Erna is an individual health care provider with primary practice located at 152 E Main St Suite A, Huntington NY 11743-2958. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Busch-Devereaux, Erna can be contacted via phone (631) 423-1414.Contact Information
Primary practice address
152 E Main St Suite A
Huntington NY 11743-2958
Phone: (631) 423-1414
Fax: (631) 423-4902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 180237 | New York |
Profile Details
| NPI number | 1669550620 |
|---|---|
| LBN Legal business name | Busch-Devereaux, Erna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Aug 14th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669550620 | NPPES |
| New York | Other | 2827H1 | BCBS PROV ID |
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