Bush, Nathaniel

Bush, Nathaniel is an individual health care provider with primary practice located at 11600 Eldridge Ave , Lake View Terrace CA 91342-6506. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Bush, Nathaniel can be contacted via phone (818) 686-3000.

Contact Information

Primary practice address
11600 Eldridge Ave Lake View Terrace CA 91342-6506
Phone: (818) 686-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1114499902
LBN Legal business name Bush, Nathaniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2018
Last updated May 6th, 2020 - about 4 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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