Gustaveson, Steven J

Gustaveson, Steven J is an individual health care provider with primary practice located at 1111 W 4Th St Bldg B, Madera CA 93637-4474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gustaveson, Steven J can be contacted via phone (559) 662-2705.

Contact Information

Primary practice address
1111 W 4Th St Bldg B Madera CA 93637-4474
Phone: (559) 662-2705
Fax: (559) 673-1588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A49993 California

Profile Details

NPI number 1598777559
LBN Legal business name Gustaveson, Steven J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 22nd, 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 1598777559 NPPES
California MEDICAID GR0068140
California MEDICAID 1699004044
California Other LAB13493F

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