Jelanie Rae Bush in Traverse City - Pediatrics

Jelanie Rae Bush - NPI 1023271780

Jelanie Rae Bush is a Pediatrics in Traverse City, Michigan. Jelanie Rae Bush practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jelanie Rae Bush is 1023271780. The last update date is 2016-11-07.

Jelanie Rae Bush's current location address is 3537 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2319358822 and fax number 2319358837. The mailing address for Jelanie Rae Bush is 3537 W Front St, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jelanie Rae Bush
Address 3537 W Front St, Traverse City, Michigan
Phone Number 2319358822
Fax Number 2319358837
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023271780
Provider Enumeration Date 2008-07-02
Last Updated Date 2016-11-07

Provider Mailing Address Detail

Address 3537 W Front St
City Traverse City
State Michigan (MI)
Post Code 496847941
Phone Number 2319358822
Fax Number 2319358837

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4301092782
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1023271780 MI --
1417961137 MI BCBSM - BRONSON

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FAQs about Jelanie Rae Bush

What is the unique identifier code issued to Jelanie Rae Bush by the Centers for Medicare & Medicaid Services?

The Jelanie Rae Bush has been assigned the NPI (National Provider Identifier) 1023271780. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jelanie Rae Bush is located?

The Jelanie Rae Bush is situated at the following address: 3537 W Front St, Traverse City, MI, 496847941.

What is the Jelanie Rae Bush's area of specialization and corresponding taxonomy classification?

The Jelanie Rae Bush's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1023271780 to Jelanie Rae Bush?

The Centers for Medicare & Medicaid Services originally issued the 1023271780 to Jelanie Rae Bush on 2008-07-02.

When was the information regarding Jelanie Rae Bush, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jelanie Rae Bush, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-11-07.

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