Bush, Gilbert Alfort
Bush, Gilbert Alfort is an sole proprietor health care provider with primary practice located at 754 N Mountain Ave , Ontario CA 91762-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Bush, Gilbert Alfort can be contacted via phone (909) 460-4155.Contact Information
Primary practice address
754 N Mountain Ave
Ontario CA 91762-2544
Phone: (909) 460-4155
Fax: (909) 988-4414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | A32872 | California |
Profile Details
NPI number | 1669578241 |
---|---|
LBN Legal business name | Bush, Gilbert Alfort |
Credentials | MEDICAL DOCTOR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 15th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1669578241 | NPPES |
California | Other | A32872 | MEDICAL LICENSE |
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