Bushman, Carol
Bushman, Carol is an individual health care provider with primary practice located at 1615 Maple Ln Ste 1 , Ashland WI 54806-3610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bushman, Carol can be contacted via phone (715) 685-7500.Contact Information
Primary practice address
1615 Maple Ln Ste 1
Ashland WI 54806-3610
Phone: (715) 685-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 152573-30 | Wisconsin |
Profile Details
| NPI number | 1164613527 |
|---|---|
| LBN Legal business name | Bushman, Carol |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | May 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164613527 | NPPES |
| Minnesota | MEDICAID | 1164613527 | |
| Minnesota | MEDICAID | 1164613527 | |
| Minnesota | MEDICAID | 1164613527 |
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