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
Phone: (610) 377-5544
Fax: (610) 377-6744
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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