Bustard, Victor William

Bustard, Victor William is an individual health care provider with primary practice located at 601 Chelsea Rd Suite 2, Trent Woods NC 28562-7149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bustard, Victor William can be contacted via phone (252) 633-3339.

Contact Information

Primary practice address
601 Chelsea Rd Suite 2 Trent Woods NC 28562-7149
Phone: (252) 633-3339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 21254 North Carolina

Profile Details

NPI number 1407825896
LBN Legal business name Bustard, Victor William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1407825896 NPPES
North Carolina Other 20435 BCBS
North Carolina MEDICAID 8920435 BCBS

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