Gay L Gustafson Dpm Pc
LBN: Gay L Gustafson Dpm Pc
Gay L Gustafson Dpm Pc is an health care organization with primary practice located at 7700 Menaul Blvd Ne Ste D, Albuquerque NM 87110-4616. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty.
Gay L Gustafson Dpm Pc can be contacted via phone (505) 299-4487, or through Gustafson, Gay L via phone (505) 299-4487.
Contact Information
Primary practice address
7700 Menaul Blvd Ne Ste D
Albuquerque NM 87110-4616
Phone: (505) 299-4487
Fax: (505) 299-4498
Website:
Authorized official contact:
Name: Gustafson, Gay L Doctor of Podiatric Medicine (DPM)
Phone: (505) 299-4487
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 252 | New Mexico |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1538430178 |
|---|---|
| LBN Legal business name | Gay L Gustafson Dpm Pc |
| DBA Doing business as | |
| Authorized official | Gustafson, Gay L Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2012 |
| Last updated | Mar 30th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538430178 | NPPES |
| New Mexico | MEDICAID | Q4698 |
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