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Contact Information

STEPHEN M BUSH, PA-C
5 FIRSTVILLAGE DRIVE
PINEHURST, NC28374
 Phone: 910-295-6831
 Fax: 910-295-0244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHEN M BUSH · (Male)

NPI # 1033532791
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/30/2014
Last updated 09/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # MB4635465
  • OH Medicaid 0098694
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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