Busz, Sandra C

Busz, Sandra C is an individual health care provider with primary practice located at 536 S Illinois Ave , Gaylord MI 49735-1752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Busz, Sandra C can be contacted via phone (989) 731-0658.

Contact Information

Primary practice address
536 S Illinois Ave Gaylord MI 49735-1752
Phone: (989) 731-0658
Fax: (989) 731-0681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4704158582 Michigan

Profile Details

NPI number 1700857430
LBN Legal business name Busz, Sandra C
Credentials APRN C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Aug 30th, 2012 - about 13 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 1700857430 NPPES
Michigan MEDICAID 4688270 10
Michigan Other 5008765110

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