Bushie, Jason Wade

Bushie, Jason Wade is an sole proprietor health care provider with primary practice located at 135 Myers Fieldhouse , Mankato MN 56001-6171. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bushie, Jason Wade can be contacted via phone (507) 389-1161.

Contact Information

Primary practice address
135 Myers Fieldhouse Mankato MN 56001-6171
Phone: (507) 389-1161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1480 Minnesota

Profile Details

NPI number 1174545180
LBN Legal business name Bushie, Jason Wade
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 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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