Busch, Robert George

Busch, Robert George is an individual health care provider with primary practice located at 4601 W Us Highway 90 , Lake City FL 32055-4880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Busch, Robert George can be contacted via phone (386) 752-4189.

Contact Information

Primary practice address
4601 W Us Highway 90 Lake City FL 32055-4880
Phone: (386) 752-4189
Fax: (386) 752-4213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X OS7006 Florida

Profile Details

NPI number 1063466811
LBN Legal business name Busch, Robert George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 7th, 2016 - about 10 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 1063466811 NPPES
Florida MEDICAID 377722700

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