Individual
THOMAS PAUL BUSHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD, CCC-A
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8110
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1917
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14263173
ASHA CERTIFICATION
—
01
—
1917
TENNESSEE AUDIOLOGY LICENSE
TN
Enumeration date
08/07/2019
Last updated
08/08/2019
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