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NPI Code Detail

MEDICARE: DR. ROBERT ALAN BUSH D.C.

MEDICARE: DR. ROBERT ALAN BUSH D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1250NC
2111N00000XChiropractor2609SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108352OTHERNCBCBS NC

General Provider Information

NPI Number : 1902805641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ALAN BUSH D.C.
Provider Business Mailing Address
First Line : 296 N HAYWOOD ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3748
Country : US
Telephone Number : 828-452-3330
Fax Number : 828-452-3331
Provider Business Practice Location Address
First Line : 296 N HAYWOOD ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3748
Country : US
Telephone Number : 828-452-3330
Fax Number : 828-452-3331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/08/2007

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