Gustafson, Alton J
Gustafson, Alton J is an individual health care provider with primary practice located at 23 E Tarpon Ave , Tarpon Springs FL 34689-3449. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gustafson, Alton J can be contacted via phone (727) 942-1618.Contact Information
Primary practice address
23 E Tarpon Ave
Tarpon Springs FL 34689-3449
Phone: (727) 942-1618
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1469 | Florida |
Profile Details
| NPI number | 1447448360 |
|---|---|
| LBN Legal business name | Gustafson, Alton J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Apr 8th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447448360 | NPPES |
| Florida | Other | 89628 | BCBS |
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