Bustillos, Aurora

Bustillos, Aurora is an individual health care provider with primary practice located at 1201 S Main St , Fort Worth TX 76104-4804. She recently has only one registered license in Nursing Service Providers / Lactation Consultant, which is considered as her primary health care specialty. Bustillos, Aurora can be contacted via phone (817) 702-7524.

Contact Information

Primary practice address
1201 S Main St Fort Worth TX 76104-4804
Phone: (817) 702-7524
Fax: (817) 920-6596
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 578013 Texas

Profile Details

NPI number 1891080404
LBN Legal business name Bustillos, Aurora
Credentials RNC-MNN, IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2011
Last updated Oct 23rd, 2014 - about 10 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 1891080404 NPPES
Texas Other BUS1-0429-7211 NCC
Texas Other 578013 NCC
Texas Other 10920319 NCC

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