NATHAN TYLER BUSH

CHESTERTON, IN
NPI1952187965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: IN  10004155A)
Enumeration Date2023-09-05
Last Update Date2024-04-17
Business Address
NATHAN TYLER BUSH PA-C
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
Mailing Address
NATHAN TYLER BUSH PA-C
896 N 104 W
CHESTERTON, IN 46304-9626
Phone number: 219-928-6808