Provider Demographics
NPI:1649930439
Name:BUSBY, ARTHUR HOWARD JR (CSCC, CPT)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:HOWARD
Last Name:BUSBY
Suffix:JR
Gender:M
Credentials:CSCC, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3544 WINCHELL RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5159
Mailing Address - Country:US
Mailing Address - Phone:614-316-6838
Mailing Address - Fax:
Practice Address - Street 1:24775 AURORA RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1759
Practice Address - Country:US
Practice Address - Phone:614-316-6838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach