DEJA ICELYN BUSH
NPI 1104659077
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since August 24, 2024
3640 COLONEL GLENN HWY, DAYTON, OH 45435(937) 775-1000 Get Directions Write a Review

NPPES record last updated: September 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2024, Aug 24, 2024 (2 updates tracked since 2024).

About Deja Icelyn Bush NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEJA ICELYN BUSH (NPI 1104659077) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1104659077
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEJA ICELYN BUSH
Location Address3640 COLONEL GLENN HWYDayton, OH 45435-0001
Mailing Address3640 Colonel Glenn HwyDayton, OH 45435-0001
Sole ProprietorNo
Enumeration DateAugust 24, 2024
Last NPPES UpdateSeptember 14, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2024
NPI 1104659077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3640 COLONEL GLENN HWY, Dayton, OH 45435

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Homemaker
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Student in an Organized Health Care Education/Training Program
3640 COLONEL GLENN HWY
DAYTON, OH 45435
Orthopaedic Surgery (Sports Medicine)
3640 COLONEL GLENN HWY
DAYTON, OH 45435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deja Bush's NPI number?

The NPI number for Deja Bush is 1104659077. It was assigned to this individual provider in the NPPES registry on August 24, 2024.

Where is Deja Bush located?

Deja Bush practices at 3640 Colonel Glenn Hwy, Dayton, OH 45435. The listed phone number is (937) 775-1000.

What is Deja Bush's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deja Bush was last updated on September 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.