Bush, Jillian

Bush, Jillian is an sole proprietor health care provider with primary practice located at 18 N Forge St , Akron OH 44304-1317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bush, Jillian can be contacted via phone (330) 762-0591.

Contact Information

Primary practice address
18 N Forge St Akron OH 44304-1317
Phone: (330) 762-0591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.2106442 Ohio
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1295387116
LBN Legal business name Bush, Jillian
Credentials LSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2019
Last updated Jun 27th, 2023 - about last year

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 1295387116 NPPES
Ohio MEDICAID 2864093

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