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Mr. Forrest K Busch JR.

Dermatologist Allergist & Immunologist General Practice Physician

1950 Cook St
Dyersburg , Tennessee 38024

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Mr. Forrest K Busch JR.

Dermatologist Allergist & Immunologist General Practice Physician

1950 Cook St
Dyersburg , Tennessee 38024

(731) 286-8008

Write a Review Save Call

Mr. Forrest K Busch JR.

Dermatologist Allergist & Immunologist General Practice Physician

1950 Cook St
Dyersburg , Tennessee 38024

(731) 286-8008 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Allergist & Immunologist
  • Dermatologist
  • General Practice Physician

Languages spoken

  • English

Location

1950 Cook St Dyersburg , Tennessee 38024

First Address

  • Mr. Forrest K Busch JR.
  • 710 Hwy 51 Bypass Pmb 363
  • Dyersburg, TN
  • Zip : 38024
  • Fax : (731) 286-8008
  • Phone : (731) 286-4300

Second Address

  • Mr. Forrest K Busch JR.
  • 1950 Cook St
  • Dyersburg, TN
  • Zip : 38024
  • Fax : (731) 286-8008
  • Phone : (731) 286-4300

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FAQs


Where did Mr. Forrest K Busch JR. attend graduate school?

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Where did Mr. Forrest K Busch JR. do his residency?

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Where did Mr. Forrest K Busch JR. do his fellowship?

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Is Mr. Forrest K Busch JR. board certified?

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What type of doctor is Mr. Forrest K Busch JR.

Dermatologist

In what state does Mr. Forrest K Busch JR. practice in?

Tennessee

Where is Mr. Forrest K Busch JR.’s practice located?

1950 Cook St , Dyersburg, Tennessee, 38024

What is Mr. Forrest K Busch JR.’s gender?

Male

Is Mr. Forrest K Busch JR. a sole practitioner?

No

Is Mr. Forrest K Busch JR. accepting new patients?

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What languages does Mr. Forrest K Busch JR. speak?

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Does Mr. Forrest K Busch JR. accept insurance?

Yes, Mr. Forrest K Busch JR. accepts insurance

Does Mr. Forrest K Busch JR. offers telemedicine?

Mr. Forrest K Busch JR. has not indicated if he offers telemedicine

What is Mr. Forrest K Busch JR.’s professional license number?

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What is Mr. Forrest K Busch JR.’s NPI number?

1063425791

Does Mr. Forrest K Busch JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207K00000X Allergist & Immunologist DO0000000839 TN
Y 207N00000X Dermatologist DO0000000839 TN
N 208D00000X General Practice Physician DO0000000839 TN

National Provider Identifier

NPI 1063425791
Provider Name Mr. Forrest K Busch JR.
First Address Dyersburg, TN 38024
Second Address Dyersburg, TN 38024
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/08/2006
Last Update Date 10/09/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
070009417 RAILROAD MEDICARE (01) TN
3303355 (05) TN
E34164 (02) TN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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