Gunawan, Christopher Mathias

Gunawan, Christopher Mathias is an individual health care provider with primary practice located at 9040A Jackson Ave , Joint Base Lewis Mcchord WA 98431-5060. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gunawan, Christopher Mathias can be contacted via phone (253) 968-0020.

Contact Information

Primary practice address
9040A Jackson Ave Joint Base Lewis Mcchord WA 98431-5060
Phone: (253) 968-0020
Fax: (253) 968-0384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X A157790 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A157790 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A157790 California

Profile Details

NPI number 1104355049
LBN Legal business name Gunawan, Christopher Mathias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2017
Last updated Aug 3rd, 2023 - about 2 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 1104355049 NPPES
Other VAD000 MEDICARE UPIN

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