Bustos, Kathy

Bustos, Kathy is an individual health care provider with primary practice located at 2211 Peoples Rd Suite A Room 6, Bellevue NE 68005-4670. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bustos, Kathy can be contacted via phone (402) 978-5174.

Contact Information

Primary practice address
2211 Peoples Rd Suite A Room 6 Bellevue NE 68005-4670
Fax: (402) 341-3616
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1346220324
LBN Legal business name Bustos, Kathy
Credentials MSW LMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1346220324 NPPES
Iowa MEDICAID 0970566

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