Provider Demographics
NPI:1629520861
Name:BUSCH, ERIC FRANKLIN (MT-BC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:FRANKLIN
Last Name:BUSCH
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11650 DOWNES ST NE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49331-9489
Mailing Address - Country:US
Mailing Address - Phone:616-897-7842
Mailing Address - Fax:616-897-7054
Practice Address - Street 1:11650 DOWNES ST NE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-9489
Practice Address - Country:US
Practice Address - Phone:616-897-7842
Practice Address - Fax:616-897-7054
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12220225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist