Individual
CHRISTOPHER JAMES BUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(402) 498-3358
(402) 498-3375
Mailing address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(402) 498-3358
(402) 498-3375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9717
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100261397-00
—
NE
05
—
470376606-31
—
NE
Enumeration date
08/02/2012
Last updated
03/27/2013
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