Busse, Blakelyn L
Busse, Blakelyn L is an individual health care provider with primary practice located at 4700 Memorial Dr Ste 340 , Belleville IL 62226-5373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Busse, Blakelyn L can be contacted via phone (618) 234-9884.Contact Information
Primary practice address
4700 Memorial Dr Ste 340
Belleville IL 62226-5373
Phone: (618) 234-9884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036.159450 | Illinois |
Profile Details
| NPI number | 1093238230 |
|---|---|
| LBN Legal business name | Busse, Blakelyn L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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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