Bush, Bruce Raymond
Bush, Bruce Raymond is an individual health care provider with primary practice located at 814 Cloverview Dr , Glendora CA 91741-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bush, Bruce Raymond can be contacted via phone (562) 809-6978.Contact Information
Primary practice address
814 Cloverview Dr
Glendora CA 91741-1916
Phone: (562) 809-6978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G48195 | California |
Profile Details
| NPI number | 1548202476 |
|---|---|
| LBN Legal business name | Bush, Bruce Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 13th, 2009 - about 15 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 | 1548202476 | NPPES |
| California | MEDICAID | 00G481950 |
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