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Contact Information

FORREST KENTON BUSCH, D.O. P.C.
1950 COOK ST
DYERSBURG, TN38024
 Phone: 731-286-4300
 Fax: 731-286-8008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for FORREST KENTON BUSCH, D.O. P.C.

NPI # 1740483692
LBN Legal business name FORREST KENTON BUSCH, D.O. P.C.
Authorized official DENISE HORNER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2007
Last updated 09/10/2015 - About 11 years ago
Identifiers
TN License # DO0000000839
TN Medicaid 3303355
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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