Bustos, Alice C
Bustos, Alice C is an individual health care provider with primary practice located at 7220 W National Ave , West Allis WI 53214-4734. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Bustos, Alice C can be contacted via phone (414) 257-8500.Contact Information
Primary practice address
7220 W National Ave
West Allis WI 53214-4734
Phone: (414) 257-8500
Fax: (414) 257-8505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 34039-020 | Wisconsin |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34039-020 | Wisconsin |
Profile Details
NPI number | 1861440505 |
---|---|
LBN Legal business name | Bustos, Alice C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | Nov 29th, 2021 - about 4 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 | 1861440505 | NPPES |
Wisconsin | MEDICAID | 32058200 |
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