Fustok, Hussam A
Fustok, Hussam A is an individual health care provider with primary practice located at 272 Hospital Rd , Chillicothe OH 45601-9031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fustok, Hussam A can be contacted via phone (740) 779-8572.Contact Information
Primary practice address
272 Hospital Rd
Chillicothe OH 45601-9031
Phone: (740) 779-8572
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2022045087 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2022045087 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.134179 | Ohio |
Profile Details
| NPI number | 1740669845 |
|---|---|
| LBN Legal business name | Fustok, Hussam A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2015 |
| Last updated | Aug 24th, 2023 - about last year |
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 | 1740669845 | NPPES |
| Missouri | MEDICAID | 1740669845 | |
| Missouri | MEDICAID | 0299838 |
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