Bush, Moria Nichols

Bush, Moria Nichols is an individual health care provider with primary practice located at 230 Fountain Ct Suite 260, Lexington KY 40509-1895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bush, Moria Nichols can be contacted via phone (859) 264-0660.

Contact Information

Primary practice address
230 Fountain Ct Suite 260 Lexington KY 40509-1895
Phone: (859) 264-0660
Fax: (859) 264-0662
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30550 Kentucky

Profile Details

NPI number 1548235492
LBN Legal business name Bush, Moria Nichols
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated May 21st, 2008 - about 18 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 1548235492 NPPES
Kentucky MEDICAID 65944761
Kentucky Other 000000392673
Kentucky MEDICAID 64305501

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