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Contact Information

MIA BUSH, THERAPIST
8704 NW 106TH ST
OKLAHOMA CITY, OK73162-1210
 Phone: 318-237-5066
 Fax: 405-328-6887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MIA BUSH · (Female)

NPI # 1568703577
Status Active
Credentials THERAPIST
Entity Individual
Enumeration date 03/15/2013
Last updated 12/26/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 17796
  • OK License # 5196
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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