Bush, Michelle

Bush, Michelle is an individual health care provider with primary practice located at 6221 Richards Dr , Shawnee KS 66216-1724. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bush, Michelle can be contacted via phone (913) 248-1943.

Contact Information

Primary practice address
6221 Richards Dr Shawnee KS 66216-1724
Phone: (913) 248-1943
Fax: (913) 248-1994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 267 Kansas

Profile Details

NPI number 1336545003
LBN Legal business name Bush, Michelle
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2014
Last updated Nov 7th, 2014 - about 10 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 1336545003 NPPES
Kansas MEDICAID 100106710 I

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