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Contact Information

JASON M BUSSELL, MSOM, L.AC.
415 1/2 4TH ST
WILMETTE, IL60091-2826
 Phone: 847-251-5225
 Fax: 847-251-5456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JASON M BUSSELL · (Male)

NPI # 1619137502
Status Active
Credentials MSOM, L.AC.
Entity Individual
Enumeration date 06/13/2008
Last updated 06/13/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 198-000436
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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