Busch, Michele Marie
Busch, Michele Marie is an individual health care provider with primary practice located at State Road 531 , Tierra Amarilla NM 87575-9701. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Busch, Michele Marie can be contacted via phone (505) 588-7285.Contact Information
Primary practice address
State Road 531
Tierra Amarilla NM 87575-9701
Phone: (505) 588-7285
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3472 | New Mexico |
Profile Details
| NPI number | 1710040407 |
|---|---|
| LBN Legal business name | Busch, Michele Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1710040407 | NPPES |
| New Mexico | MEDICAID | 61128007 |
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