Bussa, Brandon Lee

Bussa, Brandon Lee is an individual health care provider with primary practice located at 4411 S Adams St , Marion IN 46953-5349. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bussa, Brandon Lee can be contacted via phone (765) 674-4455.

Contact Information

Primary practice address
4411 S Adams St Marion IN 46953-5349
Phone: (765) 674-4455
Fax: (765) 674-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05013875A Indiana

Profile Details

NPI number 1932714276
LBN Legal business name Bussa, Brandon Lee
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2020
Last updated Sep 14th, 2020 - about 6 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 1932714276 NPPES
Indiana MEDICAID 100124000

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