Bush, Stephen Harold
Bush, Stephen Harold is an sole proprietor health care provider with primary practice located at 830 Pennsylvania Ave , Charleston WV 25302-3302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bush, Stephen Harold can be contacted via phone (304) 388-1515.Contact Information
Primary practice address
830 Pennsylvania Ave
Charleston WV 25302-3302
Phone: (304) 388-1515
Fax: (304) 388-1570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 13491 | West Virginia |
Profile Details
NPI number | 1013980416 |
---|---|
LBN Legal business name | Bush, Stephen Harold |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 8th, 2006 |
Last updated | Apr 6th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013980416 | NPPES |
West Virginia | Other | 4245361 | AETNA |
West Virginia | Other | 550691297 | AETNA |
West Virginia | Other | 001722081 | AETNA |
West Virginia | MEDICAID | 0091168000 | AETNA |
West Virginia | Other | 245048 | AETNA |
West Virginia | Other | 550691297 | AETNA |
West Virginia | Other | 550691297 | AETNA |
West Virginia | Other | 550691297 | AETNA |
West Virginia | Other | 550691297 | AETNA |
West Virginia | Other | 550691297 | AETNA |
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