Riley-Bussey, Annie Marlene

Riley-Bussey, Annie Marlene is an sole proprietor health care provider with primary practice located at 2864 Woodruff Street , Fort Liberty NC 28307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Riley-Bussey, Annie Marlene can be contacted via phone (910) 570-3113.

Contact Information

Primary practice address
2864 Woodruff Street Fort Liberty NC 28307
Phone: (910) 570-3113
Fax: (910) 396-7271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301070450 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009-01358 North Carolina

Profile Details

NPI number 1609885698
LBN Legal business name Riley-Bussey, Annie Marlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jan 19th, 2024 - 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 1609885698 NPPES
Michigan MEDICAID 104412182
Michigan MEDICAID 104412164
Michigan MEDICAID 104412155
Michigan MEDICAID 104412173
Michigan Other 700H248710
Michigan MEDICAID 104412146

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