Bustillo Chams, Ivan Jose

Bustillo Chams, Ivan Jose is an sole proprietor health care provider with primary practice located at 1000 South Columbia Road , Grand Forks ND 58206-6002. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Bustillo Chams, Ivan Jose can be contacted via phone (701) 780-5000.

Contact Information

Primary practice address
1000 South Columbia Road Grand Forks ND 58206-6002
Phone: (701) 780-5000
Fax: (203) 789-5184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X PT12924 North Dakota

Profile Details

NPI number 1457501827
LBN Legal business name Bustillo Chams, Ivan Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2008
Last updated Feb 26th, 2014 - about 11 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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