Gustafson, Eric

Gustafson, Eric is an sole proprietor health care provider with primary practice located at 1430 Tulane Ave Sl-16, New Orleans LA 70112-2632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gustafson, Eric can be contacted via phone (504) 988-7518.

Contact Information

Primary practice address
1430 Tulane Ave Sl-16 New Orleans LA 70112-2632
Phone: (504) 988-7518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A98818 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD2005-0487 New Mexico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.025860 Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.025860 Louisiana

Profile Details

NPI number 1023233400
LBN Legal business name Gustafson, Eric
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Apr 3rd, 2017 - about 7 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 1023233400 NPPES
Louisiana MEDICAID 1046914

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