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Contact Information

THEODORE BUSH IV
209 N BROAD ST STE A
NEW ORLEANS, LA70119
 Phone: 504-577-1154
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for THEODORE BUSH IV · (Male)

NPI Number 1396116562
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2015
Last updated 06/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 101YP1600X
  • LA Medicaid 600723292
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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