Provider Demographics
NPI:1639989833
Name:HOSPICE AND PALLIATIVE BOARD REVIEW.COM
Entity type:Organization
Organization Name:HOSPICE AND PALLIATIVE BOARD REVIEW.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-660-7417
Mailing Address - Street 1:13849 RUSSELL ZEPP DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1443
Mailing Address - Country:US
Mailing Address - Phone:410-660-7417
Mailing Address - Fax:
Practice Address - Street 1:13849 RUSSELL ZEPP DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1443
Practice Address - Country:US
Practice Address - Phone:410-660-7417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty