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Contact Information

BUSHIDO BARIATRIC CENTER
402 N WEST ST
FALLS CHURCH, VA22046-2543
 Phone: 907-350-5571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for BUSHIDO BARIATRIC CENTER · (Female)

NPI # 1932784998
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2021
Last updated 03/11/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1790070605 NPPES
  • PA Other 1902193410 NPPES
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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