Provider Demographics
NPI:1073490280
Name:BUSCH, ALEX
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:BUSCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-5612
Mailing Address - Country:US
Mailing Address - Phone:989-837-8350
Mailing Address - Fax:
Practice Address - Street 1:1509 WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5612
Practice Address - Country:US
Practice Address - Phone:989-837-8350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide