Michael M Boustany Md Inc
LBN: Michael M Boustany Md Inc
Michael M Boustany Md Inc is an health care organization with primary practice located at 415 Morris St Ste 105, Charleston WV 25301-1840. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Michael M Boustany Md Inc can be contacted via phone (304) 343-7557, or through Boustany, Michael M via phone (304) 343-7557.
Contact Information
Primary practice address
415 Morris St Ste 105
Charleston WV 25301-1840
Phone: (304) 343-7557
Fax: (304) 343-3441
Website:
Authorized official contact:
Name: Boustany, Michael M Doctor of Medicine (MD)
Phone: (304) 343-7557
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10600 | West Virginia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 10600 | West Virginia |
Profile Details
| NPI number | 1326044710 |
|---|---|
| LBN Legal business name | Michael M Boustany Md Inc |
| DBA Doing business as | |
| Authorized official | Boustany, Michael M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326044710 | NPPES |
| Ohio | MEDICAID | 2065901 | |
| Ohio | MEDICAID | 6953086900 |
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