Bussone, Justin Adam

Bussone, Justin Adam is an sole proprietor health care provider with primary practice located at 123 Medical Center Dr , Brunswick ME 04011-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bussone, Justin Adam can be contacted via phone (207) 373-6000.

Contact Information

Primary practice address
123 Medical Center Dr Brunswick ME 04011-2652
Phone: (207) 373-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO2129 Maine

Profile Details

NPI number 1184730186
LBN Legal business name Bussone, Justin Adam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated May 17th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184730186 NPPES
New Hampshire Other RT- 1553 LICENSE NUMBER
New Hampshire Other 61193 LICENSE NUMBER
New Hampshire Other DO2129 LICENSE NUMBER

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