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Contact Information

MARK BUSTILLO, DO
2142 N COVE BLVD
TOLEDO, OH43606
 Phone: 419-291-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARK BUSTILLO · (Male)

NPI Number 1194202945
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/24/2018
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34.014542
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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