Bustamante, Peter Jerome

Bustamante, Peter Jerome is an individual health care provider with primary practice located at 13450 N Meridian St Ste 354 , Carmel IN 46032-1486. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bustamante, Peter Jerome can be contacted via phone (317) 338-5100.

Contact Information

Primary practice address
13450 N Meridian St Ste 354 Carmel IN 46032-1486
Phone: (317) 338-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01060754A Indiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01060754A Indiana

Profile Details

NPI number 1063468304
LBN Legal business name Bustamante, Peter Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 6th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063468304 NPPES
Indiana MEDICAID 200826270

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