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
Phone: (206) 731-4240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043375405 | NPPES |
| Washington | MEDICAID | 1043375405 |
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