Bustamante, Ernestine
Bustamante, Ernestine is an individual health care provider with primary practice located at 1950 W Frye Rd , Chandler AZ 85224-6255. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bustamante, Ernestine can be contacted via phone (480) 895-9555.Contact Information
Primary practice address
1950 W Frye Rd
Chandler AZ 85224-6255
Phone: (480) 895-9555
Fax: (480) 961-2332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 30366 | Arizona |
Profile Details
| NPI number | 1427030469 |
|---|---|
| LBN Legal business name | Bustamante, Ernestine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427030469 | NPPES |
| Arizona | MEDICAID | 716996 |
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