Bustos, Luis E.

Bustos, Luis E. is an sole proprietor health care provider with primary practice located at 29135 Ryan Rd Suite B, Warren MI 48092-4276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bustos, Luis E. can be contacted via phone (586) 558-5666.

Contact Information

Primary practice address
29135 Ryan Rd Suite B Warren MI 48092-4276
Phone: (586) 558-5666
Fax: (586) 558-9333
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301032972 Michigan

Profile Details

NPI number 1750382099
LBN Legal business name Bustos, Luis E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Dec 15th, 2009 - about 16 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 1750382099 NPPES
Michigan MEDICAID 1390582
Michigan Other 0500609

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