Huerta, Gustavo

Huerta, Gustavo is an individual health care provider with primary practice located at 704 E College St , Dickson TN 37055-2032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Huerta, Gustavo can be contacted via phone (615) 441-4504.

Contact Information

Primary practice address
704 E College St Dickson TN 37055-2032
Phone: (615) 441-4504
Fax: (615) 446-1357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD22062 Tennessee

Profile Details

NPI number 1073516100
LBN Legal business name Huerta, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Feb 2nd, 2012 - 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 1073516100 NPPES
Other 020047462 RAILROAD MEDICARE
Other 3158146 RAILROAD MEDICARE
MEDICAID 3066526 RAILROAD MEDICARE

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