Busch, Gina Rae

Busch, Gina Rae is an sole proprietor health care provider with primary practice located at 9 Courtney Dr , Charleston WV 25304-2699. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Busch, Gina Rae can be contacted via phone (304) 925-3115.

Contact Information

Primary practice address
9 Courtney Dr Charleston WV 25304-2699
Fax: (304) 925-2088
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13490 West Virginia

Profile Details

NPI number 1932207891
LBN Legal business name Busch, Gina Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jul 23rd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932207891 NPPES
West Virginia MEDICAID 0094822000

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