Bush, Thomas Martin

Bush, Thomas Martin is an individual health care provider with primary practice located at 2400 Moorpark Ave Ste# 118 Rhematology Clinic, San Jose CA 95128-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bush, Thomas Martin can be contacted via phone (408) 885-6627.

Contact Information

Primary practice address
2400 Moorpark Ave Ste# 118 Rhematology Clinic San Jose CA 95128-2631
Phone: (408) 885-6627
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G51800 California

Profile Details

NPI number 1821061334
LBN Legal business name Bush, Thomas Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 9th, 2007 - about 17 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 1821061334 NPPES
California MEDICAID 00G518000

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