Bushue, Dwight Frances

Bushue, Dwight Frances is an sole proprietor health care provider with primary practice located at 4422 6Th Ave Se , Lacey WA 98503-1020. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bushue, Dwight Frances can be contacted via phone (360) 704-7170.

Contact Information

Primary practice address
4422 6Th Ave Se Lacey WA 98503-1020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X AP30001162 Washington

Profile Details

NPI number 1780766055
LBN Legal business name Bushue, Dwight Frances
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Sep 11th, 2007 - about 18 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 1780766055 NPPES
Washington MEDICAID 9607375

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