Bushey, Dere Randolph
Bushey, Dere Randolph is an sole proprietor health care provider with primary practice located at 1437 N Studebaker Rd , Long Beach CA 90815-4838. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bushey, Dere Randolph can be contacted via phone (562) 598-0553.Contact Information
Primary practice address
1437 N Studebaker Rd
Long Beach CA 90815-4838
Phone: (562) 598-0553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN288389 | California |
Profile Details
| NPI number | 1285763847 |
|---|---|
| LBN Legal business name | Bushey, Dere Randolph |
| Credentials | BSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 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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