Gustafson, Chad

Gustafson, Chad is an individual health care provider with primary practice located at 1650 17Th St Nw , Washington DC 20500. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gustafson, Chad can be contacted via phone (202) 814-6607.

Contact Information

Primary practice address
1650 17Th St Nw Washington DC 20500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1245976158
LBN Legal business name Gustafson, Chad
Credentials NRP, IDHS
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 3 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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