Bush, Lisa

Bush, Lisa is an sole proprietor health care provider with primary practice located at 1000 Johnson Ferry Road Ne , Atlanta GA 30342-1611. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Bush, Lisa can be contacted via phone (404) 851-6284.

Contact Information

Primary practice address
1000 Johnson Ferry Road Ne Atlanta GA 30342-1611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1710387881
LBN Legal business name Bush, Lisa
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2014
Last updated Oct 22nd, 2014 - about 11 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 1710387881 NPPES
Georgia Other 1710387881 MEDICARE AND MEDICAID

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