Bussey, Keith Arnold

Bussey, Keith Arnold is an sole proprietor health care provider with primary practice located at 24301 Southland Dr Ste 600 , Hayward CA 94545-1554. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Bussey, Keith Arnold can be contacted via phone (415) 912-7328.

Contact Information

Primary practice address
24301 Southland Dr Ste 600 Hayward CA 94545-1554
Phone: (415) 912-7328
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1184770760
LBN Legal business name Bussey, Keith Arnold
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Aug 2nd, 2023 - about last year

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 1184770760 NPPES
California Other 9259 BIS NUMBER

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