Clarke, Henry Bushnell

Clarke, Henry Bushnell is an individual health care provider with primary practice located at 603 7Th St S Suite 540, St Petersburg FL 33701-4734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Clarke, Henry Bushnell can be contacted via phone (727) 553-7550.

Contact Information

Primary practice address
603 7Th St S Suite 540 St Petersburg FL 33701-4734
Phone: (727) 553-7550
Fax: (727) 553-7549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME0059894 Florida

Profile Details

NPI number 1891722583
LBN Legal business name Clarke, Henry Bushnell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Apr 25th, 2017 - about 9 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 1891722583 NPPES
Florida MEDICAID 054928200
Florida Other P00647724

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