Bush, Mark Alan

Bush, Mark Alan is an individual health care provider with primary practice located at 150 E Market St , Warren OH 44481-1141. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bush, Mark Alan can be contacted via phone (330) 399-6451.

Contact Information

Primary practice address
150 E Market St Warren OH 44481-1141
Phone: (330) 399-6451
Fax: (330) 394-6266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C0005242 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.0005242 Ohio

Profile Details

NPI number 1467503110
LBN Legal business name Bush, Mark Alan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated May 21st, 2024 - 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 1467503110 NPPES
Ohio Other 000000125439 ANTHEM PIN #
Ohio Other 733387000 ANTHEM PIN #

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