Bushman, Ethan

Bushman, Ethan is an individual health care provider with primary practice located at 3600 Broadway , Oakland CA 94611-5730. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bushman, Ethan can be contacted via phone (510) 752-1000.

Contact Information

Primary practice address
3600 Broadway Oakland CA 94611-5730
Phone: (510) 752-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 686467 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95000254 California

Profile Details

NPI number 1447648605
LBN Legal business name Bushman, Ethan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2014
Last updated Jan 3rd, 2022 - about 2 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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