Bush, Thomas

Bush, Thomas is an individual health care provider with primary practice located at 1311 N Dixie Hwy , Elizabethtown KY 42701-2621. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bush, Thomas can be contacted via phone (270) 765-2605.

Contact Information

Primary practice address
1311 N Dixie Hwy Elizabethtown KY 42701-2621
Phone: (270) 765-2605
Fax: (270) 766-1222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0563 Kentucky

Profile Details

NPI number 1285672055
LBN Legal business name Bush, Thomas
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1285672055 NPPES
Kentucky MEDICAID 30605018
Kentucky Other 341172
Kentucky Other 11574907
Kentucky Other 000000044420

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