Busse, Robert G.

Busse, Robert G. is an individual health care provider with primary practice located at 2100 D. Omro Road , Oshkosh WI 54904. 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. Busse, Robert G. can be contacted via phone (920) 232-4040.

Contact Information

Primary practice address
2100 D. Omro Road Oshkosh WI 54904
Phone: (920) 232-4040
Fax: (920) 232-4042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3258-024 Wisconsin

Profile Details

NPI number 1710907993
LBN Legal business name Busse, Robert G.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 25th, 2013 - about 13 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 1710907993 NPPES
Wisconsin MEDICAID 40267200
Wisconsin Other 650019367

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