Bushnell, Theodore Elliot

Bushnell, Theodore Elliot is an individual health care provider with primary practice located at 325 9Th Ave Box 359803, Seattle WA 98104-2420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Bushnell, Theodore Elliot can be contacted via phone (206) 731-4240.

Contact Information

Primary practice address
325 9Th Ave Box 359803 Seattle WA 98104-2420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00043267 Washington
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X MD00043267 Washington

Profile Details

NPI number 1043375405
LBN Legal business name Bushnell, Theodore Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Sep 23rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043375405 NPPES
Washington MEDICAID 1043375405

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