Bush, James Michael

Bush, James Michael is an individual health care provider with primary practice located at 7008 Indiana Ave Ste A, Lubbock TX 79413-6114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bush, James Michael can be contacted via phone (806) 698-8088.

Contact Information

Primary practice address
7008 Indiana Ave Ste A Lubbock TX 79413-6114
Phone: (806) 698-8088
Fax: (806) 698-8588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 604549 Texas

Profile Details

NPI number 1063402428
LBN Legal business name Bush, James Michael
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 19th, 2010 - about 14 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 1063402428 NPPES
Texas MEDICAID 163056801

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