Bush, Angela

Bush, Angela is an individual health care provider with primary practice located at 484 Tollage Crk , Pikeville KY 41501-3305. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bush, Angela can be contacted via phone (606) 888-7337.

Contact Information

Primary practice address
484 Tollage Crk Pikeville KY 41501-3305
Phone: (606) 888-7337
Fax: (606) 437-3001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 165516 Kentucky

Profile Details

NPI number 1730517582
LBN Legal business name Bush, Angela
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2013
Last updated Jul 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730517582 NPPES
Kentucky MEDICAID 7100392680

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