Bush, Jerry Otis
Bush, Jerry Otis is an individual health care provider with primary practice located at 1000 Wellington Ave , Grand Junction CO 81501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bush, Jerry Otis can be contacted via phone (970) 243-9000.Contact Information
Primary practice address
1000 Wellington Ave
Grand Junction CO 81501
Phone: (970) 243-9000
Fax: (970) 245-4936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 26622 | Colorado |
Profile Details
| NPI number | 1457464257 |
|---|---|
| LBN Legal business name | Bush, Jerry Otis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Mar 7th, 2023 - 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 | 1457464257 | NPPES |
| Colorado | MEDICAID | 01266220 |
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