Bush, Joel G

Bush, Joel G is an individual health care provider with primary practice located at 2147 Wilma Rudolph Blvd , Clarksville TN 37040-6663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bush, Joel G can be contacted via phone (931) 245-8300.

Contact Information

Primary practice address
2147 Wilma Rudolph Blvd Clarksville TN 37040-6663
Fax: (931) 245-8360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7520 Tennessee

Profile Details

NPI number 1255312278
LBN Legal business name Bush, Joel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1255312278 NPPES
Tennessee MEDICAID 3156881

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