Individual
COREY BUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPRC-1
Contact information
Practice address
13993 E CARTER RD, BLOOMFIELD, IN 47424-6125
(317) 291-1967
(317) 342-2916
Mailing address
9240 N MERIDIAN ST STE 340, INDIANAPOLIS, IN 46260-2850
(317) 291-1967
(317) 342-2916
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CAPRC1-5427
IN
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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