Busey, Blake Ron
Busey, Blake Ron is an individual health care provider with primary practice located at 1800 Cooks Hill Rd Ste F , Centralia WA 98531-9162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Busey, Blake Ron can be contacted via phone (360) 669-0335.Contact Information
Primary practice address
1800 Cooks Hill Rd Ste F
Centralia WA 98531-9162
Phone: (360) 669-0335
Fax: (360) 736-2967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP61205149 | Washington |
Profile Details
| NPI number | 1639466873 |
|---|---|
| LBN Legal business name | Busey, Blake Ron |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2011 |
| Last updated | May 2nd, 2023 - about 2 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 | 1639466873 | NPPES |
| Washington | MEDICAID | 2221982 |
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