Individual provider · Type 1 NPI

Nathan Tyler Bush, PA-C

Medical Physician Assistant · Chesterton, IN

NPI number 1952187965 Active

Practice location

601 Gateway Blvd N
Chesterton, IN 46304-9658

Call (219) 921-1444 Map

Fax (219) 921-5303

Mailing address

896 N 104 W
Chesterton, IN 46304-9626

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X10004155A (IN)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1952187965

Nathan Tyler Bush, PA-C's National Provider Identifier is 1952187965, issued on Sep 5, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chesterton, IN. The record was last updated on Apr 17, 2024.