Lustbader, Steven S
Lustbader, Steven S is an sole proprietor health care provider with primary practice located at 1040 Don Diego Ave #14, Santa Fe NM 87505-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lustbader, Steven S can be contacted via phone (505) 984-0602.Contact Information
Primary practice address
1040 Don Diego Ave #14
Santa Fe NM 87505-3600
Phone: (505) 984-0602
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 78-56 | New Mexico |
Profile Details
| NPI number | 1558344119 |
|---|---|
| LBN Legal business name | Lustbader, Steven S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | May 23rd, 2012 - about 13 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 | 1558344119 | NPPES |
| New Mexico | MEDICAID | 31047 |
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