Debusk, Michael George
Debusk, Michael George is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Debusk, Michael George can be contacted via phone (508) 856-5288.Contact Information
Primary practice address
55 Lake Ave N Department Of Surgery
Worcester MA 01655-0002
Phone: (508) 856-5288
Fax: (508) 856-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 238672 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 21754 | New Hampshire |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 238672 | Massachusetts |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 238672 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 21754 | New Hampshire |
Profile Details
| NPI number | 1356575062 |
|---|---|
| LBN Legal business name | Debusk, Michael George |
| Credentials | M.D., M.SC. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2009 |
| Last updated | Nov 1st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356575062 | NPPES |
| New Hampshire | MEDICAID | 3106715 | |
| New Hampshire | MEDICAID | 110092666A |
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