Gustafson, Joshua J

Gustafson, Joshua J is an individual health care provider with primary practice located at 4116 University Ave , Des Moines IA 50311-3533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gustafson, Joshua J can be contacted via phone (515) 274-1518.

Contact Information

Primary practice address
4116 University Ave Des Moines IA 50311-3533
Phone: (515) 274-1518
Fax: (515) 274-6916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001998 Iowa

Profile Details

NPI number 1548491368
LBN Legal business name Gustafson, Joshua J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2009
Last updated Feb 4th, 2013 - about 12 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 1548491368 NPPES
Iowa Other P00914933 RR MEDICARE

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