Pustejovsky, Benedict

Pustejovsky, Benedict is an individual health care provider with primary practice located at 1600 University Dr E , College Station TX 77840-2642. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Pustejovsky, Benedict can be contacted via phone (409) 691-3300.

Contact Information

Primary practice address
1600 University Dr E College Station TX 77840-2642
Phone: (409) 691-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 235184 Texas

Profile Details

NPI number 1992767065
LBN Legal business name Pustejovsky, Benedict
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 10th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992767065 NPPES
Texas Other 84452U BLUE SHIELD
Texas Other P00281068 BLUE SHIELD

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