Joseph M Bustamante in Lansing - Specialist

Joseph M Bustamante - NPI 1417001512

Joseph M Bustamante is a Specialist in Lansing, Michigan. Joseph M Bustamante practices all healthcare services and medical treatments related to Specialist. The NPI Number for Joseph M Bustamante is 1417001512. The last update date is 2007-12-10.

Joseph M Bustamante's current location address is 1031 E Saginaw St, Lansing, Michigan. You can contact this provider via phone number 5174875585 and fax number 5174871129. The mailing address for Joseph M Bustamante is 1031 E Saginaw St, Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph M Bustamante
Address 1031 E Saginaw St, Lansing, Michigan
Phone Number 5174875585
Fax Number 5174871129
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1417001512
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-12-10

Provider Mailing Address Detail

Address 1031 E Saginaw St
City Lansing
State Michigan (MI)
Post Code 489065519
Phone Number 5174875585
Fax Number 5174871129

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 5101010368
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4626483 MI --

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FAQs about Joseph M Bustamante

What is the unique 10-digit identifier code assigned to Joseph M Bustamante by the Centers for Medicare & Medicaid Services?

The Joseph M Bustamante has been issued the NPI (National Provider Identifier) 1417001512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Joseph M Bustamante?

The Joseph M Bustamante is physically situated at 1031 E Saginaw St, in the city of Lansing, state of MI, with the postal code 489065519.

What is the area of specialization for Joseph M Bustamante, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Joseph M Bustamante is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date was the 1417001512 assigned to Joseph M Bustamante?

The Joseph M Bustamante was issued its 1417001512 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Joseph M Bustamante's details last updated?

The information pertaining to the Joseph M Bustamante, including its address, specialty, and other details, was most recently updated on 2007-12-10.

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