Gastman, Irvin J.

Gastman, Irvin J. is an sole proprietor health care provider with primary practice located at 25241 Grand River Ave , Redford MI 48240-1404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Gastman, Irvin J. can be contacted via phone (313) 538-3800.

Contact Information

Primary practice address
25241 Grand River Ave Redford MI 48240-1404
Phone: (313) 538-3800
Fax: (313) 538-3088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X IG007321 Michigan
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 5101007321 Michigan

Profile Details

NPI number 1942263843
LBN Legal business name Gastman, Irvin J.
Credentials DO, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Dec 28th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942263843 NPPES
Michigan MEDICAID 1293005

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