Bushaw, Mark

Bushaw, Mark is an individual health care provider with primary practice located at 1627 Midway Rd , Norfolk VA 23518. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bushaw, Mark can be contacted via phone (701) 741-4241.

Contact Information

Primary practice address
1627 Midway Rd Norfolk VA 23518
Phone: (701) 741-4241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 0101270923 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101270923 Virginia

Profile Details

NPI number 1841759164
LBN Legal business name Bushaw, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2019
Last updated Sep 23rd, 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.

Request for update

Popular Providers