Provider Demographics
NPI:1396158044
Name:BUSH, GEORGE CURTIS
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:CURTIS
Last Name:BUSH
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 1:1330 ALA MOANA BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4262
Mailing Address - Country:US
Mailing Address - Phone:808-585-1424
Mailing Address - Fax:808-380-3943
Practice Address - Street 1:210 WARD AVENUE
Practice Address - Street 2:#219B
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-380-4465
Practice Address - Fax:808-380-3943
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician