Bush, Jerry Otis

Bush, Jerry Otis is an individual health care provider with primary practice located at 1000 Wellington Ave , Grand Junction CO 81501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bush, Jerry Otis can be contacted via phone (970) 243-9000.

Contact Information

Primary practice address
1000 Wellington Ave Grand Junction CO 81501
Phone: (970) 243-9000
Fax: (970) 245-4936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26622 Colorado

Profile Details

NPI number 1457464257
LBN Legal business name Bush, Jerry Otis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 7th, 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 1457464257 NPPES
Colorado MEDICAID 01266220

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