Individual
DR. STEVEN HABUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2625 PARADE ST, ERIE, PA 16504-2809
(814) 452-6383
(814) 452-1427
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS013438L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014197630003
—
PA
Enumeration date
04/20/2006
Last updated
01/05/2017
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