Gustin, Zachary Tomulty

Gustin, Zachary Tomulty is an individual health care provider with primary practice located at 16120 W Dodge Rd , Omaha NE 68118-2049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gustin, Zachary Tomulty can be contacted via phone (402) 354-0707.

Contact Information

Primary practice address
16120 W Dodge Rd Omaha NE 68118-2049
Phone: (402) 354-0707
Fax: (402) 354-0909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X A112799 California
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 28647 Nebraska

Profile Details

NPI number 1700053337
LBN Legal business name Gustin, Zachary Tomulty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Aug 29th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700053337 NPPES
Nebraska MEDICAID 47068731798
Nebraska MEDICAID 10026450100
Nebraska MEDICAID 1700053337
Nebraska MEDICAID 47068731751
Nebraska MEDICAID 47068731742

Popular Providers