Bush, Darrack L

Bush, Darrack L is an sole proprietor health care provider with primary practice located at 4857 State Route 5 , Vernon NY 13476-3530. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bush, Darrack L can be contacted via phone (315) 953-4103.

Contact Information

Primary practice address
4857 State Route 5 Vernon NY 13476-3530
Phone: (315) 953-4103
Fax: (315) 953-4138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X009380 New York

Profile Details

NPI number 1548324114
LBN Legal business name Bush, Darrack L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated May 24th, 2010 - about 16 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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