Busick, Edward James
Busick, Edward James is an sole proprietor health care provider with primary practice located at 20 Hope Avenue Suite 211, Waltham MA 02453-2717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Busick, Edward James can be contacted via phone (781) 647-0855.Contact Information
Primary practice address
20 Hope Avenue Suite 211
Waltham MA 02453-2717
Phone: (781) 647-0855
Fax: (781) 647-9142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40958 | Massachusetts |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 40958 | Massachusetts |
Profile Details
| NPI number | 1467436931 |
|---|---|
| LBN Legal business name | Busick, Edward James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Feb 22nd, 2012 - about 12 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 | 1467436931 | NPPES |
| Massachusetts | MEDICAID | 2052334 | |
| Massachusetts | Other | M09465 |
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