Bush, Charles Amos

Bush, Charles Amos is an individual health care provider with primary practice located at 4003 Kresge Way Ste 300 , Louisville KY 40207-4652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bush, Charles Amos can be contacted via phone (502) 897-5139.

Contact Information

Primary practice address
4003 Kresge Way Ste 300 Louisville KY 40207-4652
Phone: (502) 897-5139
Fax: (502) 896-6218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01087790A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 56602 Kentucky

Profile Details

NPI number 1619361680
LBN Legal business name Bush, Charles Amos
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2015
Last updated Mar 1st, 2024 - about 9 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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