Bussart, Gail D

Bussart, Gail D is an individual health care provider with primary practice located at 560 N Exposition St , Wichita KS 67203-5902. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bussart, Gail D can be contacted via phone (316) 854-8574.

Contact Information

Primary practice address
560 N Exposition St Wichita KS 67203-5902
Phone: (316) 854-8574
Fax: (316) 854-5271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1972 Kansas

Profile Details

NPI number 1053389015
LBN Legal business name Bussart, Gail D
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 29th, 2016 - about 10 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 1053389015 NPPES
Kansas Other 009021 PHS
Kansas Other 069655 PHS
Kansas MEDICAID 100427820A PHS

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