Bush, Marie

Bush, Marie is an individual health care provider with primary practice located at 1925 W Mountain View Ave , Longmont CO 80501-3128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bush, Marie can be contacted via phone (303) 776-1234.

Contact Information

Primary practice address
1925 W Mountain View Ave Longmont CO 80501-3128
Fax: (720) 494-3107
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0033962 Colorado

Profile Details

NPI number 1467456889
LBN Legal business name Bush, Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 3rd, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467456889 NPPES
Colorado Other P01490975 MEDICARE RR
Colorado MEDICAID 86488821 MEDICARE RR

Popular Providers