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Contact Information

GAGE BUSH, ACT
1428 SHORT TRACK RD
STURGIS, SD57785-2977
 Phone: 605-347-2991
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GAGE BUSH · (Male)

NPI # 1366181075
Status Active
Credentials ACT
Entity Individual
Enumeration date 06/01/2022
Last updated 06/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 8577
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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