Gustafson, David R.
Gustafson, David R. is an individual health care provider with primary practice located at 3507 Shady Bend Dr , Independence MO 64052-2860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gustafson, David R. can be contacted via phone (816) 651-8631.Contact Information
Primary practice address
3507 Shady Bend Dr
Independence MO 64052-2860
Phone: (816) 651-8631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | R9B87 | Missouri |
Profile Details
| NPI number | 1205817871 |
|---|---|
| LBN Legal business name | Gustafson, David R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Apr 22nd, 2011 - about 14 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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