Bush, Keith

Bush, Keith is an individual health care provider with primary practice located at 420 Gaffney Dr , Watertown NY 13601-1823. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bush, Keith can be contacted via phone (315) 414-6413.

Contact Information

Primary practice address
420 Gaffney Dr Watertown NY 13601-1823
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1497400550
LBN Legal business name Bush, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2022
Last updated Feb 17th, 2022 - about 3 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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