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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

Request for update

Popular Providers