Vanderbush, Brock D
Vanderbush, Brock D is an individual health care provider with primary practice located at 6820 Parkdale Pl Ste 212 , Indianapolis IN 46254-6600. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Vanderbush, Brock D can be contacted via phone (317) 216-2700.Contact Information
Primary practice address
6820 Parkdale Pl Ste 212
Indianapolis IN 46254-6600
Phone: (317) 216-2700
Fax: (317) 216-2777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 01082307A | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 82220 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01082307A | Indiana |
Profile Details
| NPI number | 1396162749 |
|---|---|
| LBN Legal business name | Vanderbush, Brock D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2014 |
| Last updated | Jun 20th, 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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