Buss, Kevin M

Buss, Kevin M is an individual health care provider with primary practice located at 325 Il Route 2 , Dixon IL 61021-9118. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Buss, Kevin M can be contacted via phone (815) 284-6611.

Contact Information

Primary practice address
325 Il Route 2 Dixon IL 61021-9118
Phone: (815) 284-6611
Fax: (815) 284-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1750440970
LBN Legal business name Buss, Kevin M
Credentials MFA CRADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - 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 1750440970 NPPES
Illinois Other 12799 CRADC- IAODAPCA

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