Gustafson, Christopher Olaf

Gustafson, Christopher Olaf is an individual health care provider with primary practice located at 200 Abraham Flexner Way , Louisville KY 40202-2877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gustafson, Christopher Olaf can be contacted via phone (502) 587-4404.

Contact Information

Primary practice address
200 Abraham Flexner Way Louisville KY 40202-2877
Phone: (502) 587-4404
Fax: (502) 587-4156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD28282 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 258492 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X TP347 Kentucky
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 57886 Kentucky

Profile Details

NPI number 1639339096
LBN Legal business name Gustafson, Christopher Olaf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Apr 11th, 2023 - 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 1639339096 NPPES
Oregon MEDICAID 242401
Oregon Other P00636102
Oregon MEDICAID 300073407
Oregon MEDICAID 7100881680
Oregon MEDICAID 8515660

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