Bush, Stephen D

Bush, Stephen D is an individual health care provider with primary practice located at 939 Caroline St # 3E , Port Angeles WA 98362-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bush, Stephen D can be contacted via phone (360) 565-0999.

Contact Information

Primary practice address
939 Caroline St # 3E Port Angeles WA 98362-3909
Fax: (360) 452-7303
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00039458 Washington

Profile Details

NPI number 1720048861
LBN Legal business name Bush, Stephen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 21st, 2022 - about 2 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 1720048861 NPPES
Washington MEDICAID 8274698

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