Dr. Stephen Harold Bush
Obstetrician & Gynecologist
830 Pennsylvania Ave
Charleston
, West Virginia 25302-3302
Dr. Stephen Harold Bush
Obstetrician & Gynecologist
830 Pennsylvania Ave
Charleston
, West Virginia 25302-3302
(304) 388-1570
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Stephen Harold Bush
- 830 Pennsylvania Ave
- Charleston, WV
- Zip : 25302-3302
- Fax : (304) 388-1570
- Phone : (304) 388-1515
Second Address
- Dr. Stephen Harold Bush
- 830 Pennsylvania Ave
- Charleston, WV
- Zip : 25302-3302
- Fax : (304) 388-1570
- Phone : (304) 388-1515
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 13491 | WV |
National Provider Identifier
| NPI | 1013980416 |
|---|---|
| Provider Name | Dr. Stephen Harold Bush |
| First Address | Charleston, WV 25302-3302 |
| Second Address | Charleston, WV 25302-3302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 07/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001722081 | BLUE CROSS (01) | WV |
| 0091168000 | (05) | WV |
| 245048 | MAMSI UNITED HEALTH CARE (01) | WV |
| 4245361 | AETNA (01) | WV |
| 550691297 | 4 MOST (01) | WV |
| 550691297 | CARELINK (01) | WV |
| 550691297 | CIGNA (01) | WV |
| 550691297 | SELECT NET (01) | WV |
| 550691297 | TRICARE (01) | WV |
| 550691297 | UNICARE (01) | WV |
| A72779 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.