Bush, Stephen Michael
Bush, Stephen Michael is an individual health care provider with primary practice located at 509 South Byp , Kennett MO 63857-3248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bush, Stephen Michael can be contacted via phone (573) 888-0555.Contact Information
Primary practice address
509 South Byp
Kennett MO 63857-3248
Phone: (573) 888-0555
Fax: (573) 888-0556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2000158294 | Missouri |
Profile Details
| NPI number | 1023002573 |
|---|---|
| LBN Legal business name | Bush, Stephen Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Jul 23rd, 2014 - about 11 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 | 1023002573 | NPPES |
| Missouri | MEDICAID | 205015506 |
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