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Theodore Bush
NPI 1396116562 · on the registry since 2015 · sole proprietor
Practice
- Address
- 209 N Broad St Ste A
New Orleans, LA 70119 - Phone
- (504) 577-1154
- Organisation at this address
- Change Consulting Company, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Additional practice sites
- 2740 Iberville St, New Orleans, LA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YP1600X
- Sex
- Male
- Record last updated
- 2018-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana