Boustany, Michael M

Boustany, Michael M is an individual health care provider with primary practice located at 434 Division St , South Charleston WV 25309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Boustany, Michael M can be contacted via phone (304) 766-7140.

Contact Information

Primary practice address
434 Division St South Charleston WV 25309
Phone: (304) 766-7140
Fax: (304) 766-7180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 10600 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 10600 West Virginia

Profile Details

NPI number 1619973096
LBN Legal business name Boustany, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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