Henning Bushaw, Becky

Henning Bushaw, Becky is an sole proprietor health care provider with primary practice located at 1268 Sheridan Rd , Highland Park IL 60035-4120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Henning Bushaw, Becky can be contacted via phone (847) 432-3833.

Contact Information

Primary practice address
1268 Sheridan Rd Highland Park IL 60035-4120
Phone: (847) 432-3833
Fax: (847) 432-1232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160-002572 Illinois

Profile Details

NPI number 1114166436
LBN Legal business name Henning Bushaw, Becky
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2009
Last updated Feb 10th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114166436 NPPES
Illinois Other BC#0492189 BLUE CROSS BLUE SHIELD

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