Bustamante, Joseph M

Bustamante, Joseph M is an individual health care provider with primary practice located at 826 W King St , Owosso MI 48867-2120. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bustamante, Joseph M can be contacted via phone (517) 487-5585.

Contact Information

Primary practice address
826 W King St Owosso MI 48867-2120
Phone: (517) 487-5585
Fax: (517) 487-1129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5101010368 Michigan

Profile Details

NPI number 1417001512
LBN Legal business name Bustamante, Joseph M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 10th, 2007 - about 19 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 1417001512 NPPES
Michigan MEDICAID 4626483

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