Bushong, Elizabeth Elaine
Bushong, Elizabeth Elaine is an sole proprietor health care provider with primary practice located at 330 Barclay Ave Ne Ste 104 , Grand Rapids MI 49503-2525. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bushong, Elizabeth Elaine can be contacted via phone (616) 391-6243.Contact Information
Primary practice address
330 Barclay Ave Ne Ste 104
Grand Rapids MI 49503-2525
Phone: (616) 391-6243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 4351052917 | Michigan |
Profile Details
| NPI number | 1215630454 |
|---|---|
| LBN Legal business name | Bushong, Elizabeth Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2023 |
| Last updated | Jun 25th, 2024 - about 3 months 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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