Gustafson, Kurt Joseph

Gustafson, Kurt Joseph is an individual health care provider with primary practice located at 215 S 1St St , Lehighton PA 18235-2163. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Gustafson, Kurt Joseph can be contacted via phone (610) 377-5544.

Contact Information

Primary practice address
215 S 1St St Lehighton PA 18235-2163
Fax: (610) 377-6744
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC004598L Pennsylvania

Profile Details

NPI number 1326069055
LBN Legal business name Gustafson, Kurt Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 21st, 2011 - about 13 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 1326069055 NPPES
Pennsylvania MEDICAID 0008247770003
Pennsylvania Other 815699
Pennsylvania Other 480033403
Pennsylvania Other 50000307
Pennsylvania Other 2811707
Pennsylvania Other 80426

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