Bustos, Elwin G

Bustos, Elwin G is an individual health care provider with primary practice located at 1160 Varnum St Ne Suite 213, Washington DC 20017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bustos, Elwin G can be contacted via phone (202) 269-6430.

Contact Information

Primary practice address
1160 Varnum St Ne Suite 213 Washington DC 20017
Phone: (202) 269-6430
Fax: (202) 269-6598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD19909 District of Columbia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X D0042936 Maryland
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101048655 Virginia

Profile Details

NPI number 1467543686
LBN Legal business name Bustos, Elwin G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1467543686 NPPES
Other 0401616 EVERCARE MARYLAND
Other S10081 EVERCARE MARYLAND
Other 44320001 EVERCARE MARYLAND
Other 96121 EVERCARE MARYLAND
Other 1059 EVERCARE MARYLAND

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