Gustafson, Craig S.
Gustafson, Craig S. is an sole proprietor health care provider with primary practice located at 233 Ayer Rd , Harvard MA 01451-1131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gustafson, Craig S. can be contacted via phone (978) 772-0698.Contact Information
Primary practice address
233 Ayer Rd
Harvard MA 01451-1131
Phone: (978) 772-0698
Fax: (978) 772-0024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 153873 | Massachusetts |
Profile Details
| NPI number | 1780660845 |
|---|---|
| LBN Legal business name | Gustafson, Craig S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Sep 21st, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780660845 | NPPES |
| Massachusetts | MEDICAID | 3190994 |
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