Gustafson, George Allen
Gustafson, George Allen is an individual health care provider with primary practice located at 1901 West Lugonia Ave. Ste. 210 , Redlands CA 92374. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Other Service Providers / Specialist is his primary health care specialty. Gustafson, George Allen can be contacted via phone (909) 557-1600.Contact Information
Primary practice address
1901 West Lugonia Ave. Ste. 210
Redlands CA 92374
Phone: (909) 557-1600
Fax: (909) 557-1740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | G24086 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G24086 | California |
Profile Details
NPI number | 1851310825 |
---|---|
LBN Legal business name | Gustafson, George Allen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | Jan 2nd, 2015 - about 9 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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