Bustamante, Maria
Bustamante, Maria is an individual health care provider with primary practice located at 1051 Haskell St. Suite 200, Fort Worth TX 76107. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bustamante, Maria can be contacted via phone (817) 377-4011.Contact Information
Primary practice address
1051 Haskell St. Suite 200
Fort Worth TX 76107
Phone: (817) 377-4011
Fax: (817) 377-9269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 20442 | Texas |
Profile Details
| NPI number | 1558582502 |
|---|---|
| LBN Legal business name | Bustamante, Maria |
| Credentials | SOCIAL WORKER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Oct 20th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558582502 | NPPES |
| Texas | Other | 20442 | LICENSE NUMBER |
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