Bustos, Shawn Tyler
Bustos, Shawn Tyler is an individual health care provider with primary practice located at 8409 S Western Ave , Oklahoma City OK 73139-9211. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bustos, Shawn Tyler can be contacted via phone (405) 616-0113.Contact Information
Primary practice address
8409 S Western Ave
Oklahoma City OK 73139-9211
Phone: (405) 616-0113
Fax: (405) 616-0116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 782 | Oklahoma |
Profile Details
| NPI number | 1447292818 |
|---|---|
| LBN Legal business name | Bustos, Shawn Tyler |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Sep 29th, 2009 - about 15 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 | 1447292818 | NPPES |
| Oklahoma | MEDICAID | 100631740B |
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