Bustos And Associates, Llc

LBN: Bustos And Associates, Llc
Bustos And Associates, Llc is an health care organization with primary practice located at 1140 Varnum St Ne Pmb 105, Washington DC 20017-2151. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Other Service Providers / Specialist is the primary health care specialty. Bustos And Associates, Llc can be contacted via phone (202) 269-6430, or through Bustos, Elwin G via phone (202) 269-6430.

Contact Information

Primary practice address
1140 Varnum St Ne Pmb 105 Washington DC 20017-2151
Fax: (202) 269-6598
Website:
Authorized official contact:
Name: Bustos, Elwin G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD19909 District of Columbia
Managed Care Organizations / Health Maintenance Organization 302R00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X MD19909 District of Columbia

Profile Details

NPI number 1922335561
LBN Legal business name Bustos And Associates, Llc
DBA Doing business as
Authorized official Bustos, Elwin G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2009
Last updated Sep 24th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922335561 NPPES
District of Columbia MEDICAID 011630100

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