Gustafson, Paul T.

Gustafson, Paul T. is an individual health care provider with primary practice located at 196 Arrowhead Dr Ste 9, Evanston WY 82930-8752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gustafson, Paul T. can be contacted via phone (307) 783-8280.

Contact Information

Primary practice address
196 Arrowhead Dr Ste 9 Evanston WY 82930-8752
Phone: (307) 783-8280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X TL#656 Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X 2894 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101015864 Michigan

Profile Details

NPI number 1528033644
LBN Legal business name Gustafson, Paul T.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528033644 NPPES
Wyoming Other 314100 BCBS

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