Gustafson, Peter Michael

Gustafson, Peter Michael is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Gustafson, Peter Michael can be contacted via phone (864) 522-3700.

Contact Information

Primary practice address
7 Independence Pt Ste 300 Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 041378169 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 21641 South Carolina

Profile Details

NPI number 1144734484
LBN Legal business name Gustafson, Peter Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2017
Last updated May 9th, 2022 - about 2 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 1144734484 NPPES
South Carolina MEDICAID PENDING

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