Hustad, Kent O
Hustad, Kent O is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hustad, Kent O can be contacted via phone (315) 448-5416.Contact Information
Primary practice address
301 Prospect Ave
Syracuse NY 13203-1807
Phone: (315) 448-5416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 152980 | New York |
Profile Details
| NPI number | 1265424519 |
|---|---|
| LBN Legal business name | Hustad, Kent O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265424519 | NPPES |
| New York | MEDICAID | 01683430 |
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