Bushman, Robert Edward
Bushman, Robert Edward is an individual health care provider with primary practice located at 8860 Center Dr Ste 300, La Mesa CA 91942-3068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bushman, Robert Edward can be contacted via phone (619) 462-1670.Contact Information
Primary practice address
8860 Center Dr Ste 300
La Mesa CA 91942-3068
Phone: (619) 462-1670
Fax: (619) 462-3209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G27334 | California |
Profile Details
| NPI number | 1578561692 |
|---|---|
| LBN Legal business name | Bushman, Robert Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jan 5th, 2009 - about 15 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 | 1578561692 | NPPES |
| California | MEDICAID | 00G273340 |
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