Bustillo, Jorge

Bustillo, Jorge is an individual health care provider with primary practice located at 2494 Bernville Road Suite 205, Reading PA 19605-9469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bustillo, Jorge can be contacted via phone (610) 378-2996.

Contact Information

Primary practice address
2494 Bernville Road Suite 205 Reading PA 19605-9469
Phone: (610) 378-2996
Fax: (610) 208-8812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0078545 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD421803 Pennsylvania

Profile Details

NPI number 1679537435
LBN Legal business name Bustillo, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Apr 2nd, 2024 - about 7 months 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 1679537435 NPPES
Pennsylvania Other 580344 MEDICARE
Pennsylvania MEDICAID 0019586400010 MEDICARE
Pennsylvania MEDICAID 745419800 MEDICARE

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