Bush, Ilene M.

Bush, Ilene M. is an individual health care provider with primary practice located at 1951 Bishop Ln Suite 204/206, Louisville KY 40218-1930. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bush, Ilene M. can be contacted via phone (502) 479-4433.

Contact Information

Primary practice address
1951 Bishop Ln Suite 204/206 Louisville KY 40218-1930
Phone: (502) 479-4433
Fax: (502) 451-5949
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0464 Kentucky

Profile Details

NPI number 1922026400
LBN Legal business name Bush, Ilene M.
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 29th, 2014 - about 11 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 1922026400 NPPES
Kentucky Other HUMANA 000019922
Kentucky Other 278263 000019922
Kentucky MEDICAID 7100281800 000019922

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