Bush, Brian K
Bush, Brian K is an individual health care provider with primary practice located at 12054 Clark St Apt 101 , Moreno Valley CA 92557-8652. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bush, Brian K can be contacted via phone (630) 697-2166.Contact Information
Primary practice address
12054 Clark St Apt 101
Moreno Valley CA 92557-8652
Phone: (630) 697-2166
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 95176298 | California |
Profile Details
NPI number | 1679334270 |
---|---|
LBN Legal business name | Bush, Brian K |
Credentials | RN,BSN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2024 |
Last updated | Jan 19th, 2024 - about 11 months 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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