Individual
DR. SUSAN J BUSHELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30551
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291599
ANTHEM ID
—
01
—
03-0055
UNITED HEALTCARE ID
—
01
—
3230980
AETNA ID
—
Enumeration date
03/27/2007
Last updated
08/18/2021
Update your record
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