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Contact Information

FORREST K BUSCH JR, DO
1950 COOK ST
DYERSBURG, TN38024
 Phone: 731-286-4300
 Fax: 731-286-8008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for FORREST K BUSCH JR · (Male)

NPI Number 1063425791
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/14/2006
Last updated 09/10/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # DO0000000839
  • TN Medicaid 3303355
  • TN Other 070009417 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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