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Contact Information

REBECCA L BUSHONG, MD
1601 LAFAYETTE RD
SUITE 100
CRAWFORDSVILLE, IN47933-1032
 Phone: 765-362-1212
 Fax: 765-361-0210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for REBECCA L BUSHONG · (Female)

NPI Number 1366422099
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2006
Last updated 02/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01036464A
  • ME License # 015967
  • OH License # 35050655
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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