| Specialty | Taxonomy Code | |
|---|---|---|
| * | Primary Care | 261QP2300X |
| Medical Specialty | 261QM2500X |
* Indicates primary specialty
| NPI Number | 1588107668 |
| Legal business name LBN |
BUSTLETON HEALTHCARE |
| Authorized official | IRINA JOUKOVA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 11/22/2016 |
| Last updated | 11/22/2016 - About 10 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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