Bussick, Timothy Jay
Bussick, Timothy Jay is an sole proprietor health care provider with primary practice located at 7207 Engle Rd , Fort Wayne IN 46804-2231. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bussick, Timothy Jay can be contacted via phone (260) 436-2255.Contact Information
Primary practice address
7207 Engle Rd
Fort Wayne IN 46804-2231
Phone: (260) 436-2255
Fax: (260) 432-5466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12009656A | Indiana |
Profile Details
| NPI number | 1518131200 |
|---|---|
| LBN Legal business name | Bussick, Timothy Jay |
| Credentials | D.D.S; M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2008 |
| Last updated | Apr 15th, 2008 - about 16 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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