Bushor, Patricia Lynn

Bushor, Patricia Lynn is an individual health care provider with primary practice located at 160 Sayre Dr , Mayfield KY 42066-1945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bushor, Patricia Lynn can be contacted via phone (270) 970-0397.

Contact Information

Primary practice address
160 Sayre Dr Mayfield KY 42066-1945
Phone: (270) 970-0397
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4642P Kentucky

Profile Details

NPI number 1972693513
LBN Legal business name Bushor, Patricia Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 16th, 2011 - about 15 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 1972693513 NPPES
Kentucky Other 710003590 KY MEDICAID PIN
Kentucky Other 00931 KY MEDICAID PIN
Kentucky Other 7100112650 KY MEDICAID PIN

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