Gustafson, Keith B
Gustafson, Keith B is an individual health care provider with primary practice located at 138 S Rosemont Rd Ste 215, Virginia Beach VA 23452-4336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gustafson, Keith B can be contacted via phone (757) 431-9551.Contact Information
Primary practice address
138 S Rosemont Rd Ste 215
Virginia Beach VA 23452-4336
Phone: (757) 431-9551
Fax: (757) 431-9663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0101233342 | Virginia |
Profile Details
| NPI number | 1851394795 |
|---|---|
| LBN Legal business name | Gustafson, Keith B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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