Bush, Jared W

Bush, Jared W is an individual health care provider with primary practice located at 4700 Seton Center Pkwy Ste 200, Austin TX 78759-5295. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Bush, Jared W can be contacted via phone (512) 439-1000.

Contact Information

Primary practice address
4700 Seton Center Pkwy Ste 200 Austin TX 78759-5295
Phone: (512) 439-1000
Fax: (512) 439-1081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1878 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA05744 Texas

Profile Details

NPI number 1396751418
LBN Legal business name Bush, Jared W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Nov 20th, 2019 - about 6 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 1396751418 NPPES
Texas Other P00690919 RAILROAD MEDICARE

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