Bush, Michael D

Bush, Michael D is an individual health care provider with primary practice located at 160 Rogers St , Lebanon VA 24266-4500. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bush, Michael D can be contacted via phone (276) 889-3785.

Contact Information

Primary practice address
160 Rogers St Lebanon VA 24266-4500
Phone: (276) 889-3785
Fax: (276) 889-2842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003280 Virginia

Profile Details

NPI number 1114967080
LBN Legal business name Bush, Michael D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1114967080 NPPES
Virginia Other 173787 ANTHEM

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