Gustin, Kent B

Gustin, Kent B is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gustin, Kent B can be contacted via phone (509) 765-5606.

Contact Information

Primary practice address
801 E Wheeler Rd Moses Lake WA 98837-1820
Fax:
Website:

Profile Details

NPI number 1659551612
LBN Legal business name Gustin, Kent B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated May 27th, 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 1659551612 NPPES
Washington MEDICAID 1056739

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