Bush, Jacqueline

Bush, Jacqueline is an sole proprietor health care provider with primary practice located at 506 6Th St , Brooklyn NY 11215. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Bush, Jacqueline can be contacted via phone (718) 780-3272.

Contact Information

Primary practice address
506 6Th St Brooklyn NY 11215
Phone: (718) 780-3272
Fax: (718) 780-3079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 191867 New York
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 191867 New York

Profile Details

NPI number 1174596241
LBN Legal business name Bush, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Dec 14th, 2023 - about 3 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 1174596241 NPPES
New York MEDICAID 01721493

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