Gustafson, Klemens Elden
Gustafson, Klemens Elden is an sole proprietor health care provider with primary practice located at 989 Elkin Ln , Roanoke TX 76262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Gustafson, Klemens Elden can be contacted via phone (817) 379-4488.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | G4300 | Texas |
Profile Details
| NPI number | 1841250404 |
|---|---|
| LBN Legal business name | Gustafson, Klemens Elden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jun 29th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841250404 | NPPES |
| Texas | MEDICAID | 133986305 |
Popular Providers
-
Hassman, Michael A
175 Cross Keys Rd 300A, Berlin NJ 08009-9263 -
Hassman, Joseph M
175 Cross Keys Rd # 300 A , Berlin NJ 08009-9263 -
Lagac, Paul A
774 College Hwy , Southwick MA 01077-9690 -
Hannon, Dennis M
3300 Olney Sandy Spring Rd Suite 330, Olney MD 20832-1494 -
Maltz, Jonathan
3300 Olney Sandy Spring Rd Ste 330 , Olney MD 20832-3305 -
Vanwinkle, David A
6401 Prairie St Suite 1600, Muskegon MI 49444-7840 -
Siddiqui, Siraj U
238 N Main St , Wellsville NY 14895-1046 -
Putland, Michael Stuart
14200 W Fillmore St , Goodyear AZ 85338-3005