Busch, Forrest K

Busch, Forrest K is an sole proprietor health care provider with primary practice located at 1950 Cook St , Dyersburg TN 38024. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Busch, Forrest K can be contacted via phone (731) 286-4300.

Contact Information

Primary practice address
1950 Cook St Dyersburg TN 38024
Phone: (731) 286-4300
Fax: (731) 286-8008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X DO0000000839 Tennessee
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X DO0000000839 Tennessee
Allopathic & Osteopathic Physicians / Dermatology 207N00000X DO0000000839 Tennessee

Profile Details

NPI number 1063425791
LBN Legal business name Busch, Forrest K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Sep 10th, 2015 - about 11 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 1063425791 NPPES
Tennessee MEDICAID 3303355
Tennessee Other 070009417

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