Bustamante, Andres

Bustamante, Andres is an individual health care provider with primary practice located at 370 N King St , Northampton MA 01060-1121. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Bustamante, Andres can be contacted via phone (413) 320-4118.

Contact Information

Primary practice address
370 N King St Northampton MA 01060-1121
Phone: (413) 320-4118
Fax: (888) 289-5206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 8148 Massachusetts

Profile Details

NPI number 1982668919
LBN Legal business name Bustamante, Andres
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 26th, 2020 - about 5 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 1982668919 NPPES
Massachusetts MEDICAID 1301071

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