Individual
DR. SUSAN LYNN BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
14377 WOODLAKE DR, STE. 315, CHESTERFIELD, MO 63017-5735
(314) 878-8999
(314) 878-8915
Mailing address
14377 WOODLAKE DR, STE. 315, CHESTERFIELD, MO 63017-5735
(314) 878-8999
(314) 878-8915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003003215
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA2679
MEDICARE GROUP PTAN
MO
Enumeration date
07/21/2006
Last updated
04/05/2011
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