Individual
DR. MARJORIE L BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 MEDICAL PARK, SUITE 200, WHEELING, WV 26003-6392
(304) 242-0590
(304) 242-9740
Mailing address
40 MEDICAL PARK, SUITE 200, WHEELING, WV 26003-6392
(304) 242-0590
(304) 242-9740
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
35054021B
OH
2086S0105X
Surgery of the Hand (Surgery) Physician
14863
WV
2086S0122X
Plastic and Reconstructive Surgery Physician
14863
WV
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35054021B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113817000
—
WV
05
—
0649856
—
OH
01
—
14863
HMO
—
01
—
240001428
RAILROAD MEDICARE
OH
01
—
240001433
RAILROAD MEDICARE
WV
Enumeration date
09/16/2005
Last updated
12/15/2021
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