Buster, John
Buster, John is an individual health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Buster, John can be contacted via phone (401) 274-1100.Contact Information
Primary practice address
101 Dudley St
Providence RI 02905-2401
Phone: (401) 274-1100
Fax: (401) 453-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | MD12322 | Rhode Island |
Profile Details
| NPI number | 1225118656 |
|---|---|
| LBN Legal business name | Buster, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Aug 18th, 2011 - about 14 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 | 1225118656 | NPPES |
| Texas | MEDICAID | 131913906 |
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