Busch, Lisa Marie

Busch, Lisa Marie is an individual health care provider with primary practice located at 103 W Us Highway 2 , Wakefield MI 49968-9515. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Busch, Lisa Marie can be contacted via phone (906) 229-6120.

Contact Information

Primary practice address
103 W Us Highway 2 Wakefield MI 49968-9515
Phone: (906) 229-6120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704255158 Michigan
Nursing Service Providers / Registered Nurse 163W00000X 163642030 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4704255158 Michigan

Profile Details

NPI number 1063678167
LBN Legal business name Busch, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2008
Last updated May 8th, 2018 - about 7 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 1063678167 NPPES
Wisconsin MEDICAID 35066500

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