Lustberg, Herb
Lustberg, Herb is an individual health care provider with primary practice located at 326 Washington St , Norwich CT 06360-2740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lustberg, Herb can be contacted via phone (860) 889-8331.Contact Information
Primary practice address
326 Washington St
Norwich CT 06360-2740
Phone: (860) 889-8331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 39105 | Connecticut |
Profile Details
| NPI number | 1477549129 |
|---|---|
| LBN Legal business name | Lustberg, Herb |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Feb 22nd, 2010 - about 14 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 | 1477549129 | NPPES |
| Connecticut | MEDICAID | 001391052 |
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