Bush, Jeff
Bush, Jeff is an sole proprietor health care provider with primary practice located at 23773 Us Highway 27 , Lake Wales FL 33859-7802. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Bush, Jeff can be contacted via phone (863) 949-4837.Contact Information
Primary practice address
23773 Us Highway 27
Lake Wales FL 33859-7802
Phone: (863) 949-4837
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | AS5416 | Florida |
Profile Details
| NPI number | 1568928158 |
|---|---|
| LBN Legal business name | Bush, Jeff |
| Credentials | HAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2019 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568928158 | NPPES |
| Florida | Other | AS5416 | STATE LICENSE |
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