Gustavson, Andrew Kirby

Gustavson, Andrew Kirby is an individual health care provider with primary practice located at 3614 Providence Rd S Ste 200 , Waxhaw NC 28173-6310. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gustavson, Andrew Kirby can be contacted via phone (704) 384-8640.

Contact Information

Primary practice address
3614 Providence Rd S Ste 200 Waxhaw NC 28173-6310
Phone: (704) 384-8640
Fax: (704) 384-8650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12435 North Carolina

Profile Details

NPI number 1306571302
LBN Legal business name Gustavson, Andrew Kirby
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2022
Last updated Dec 28th, 2022 - about 4 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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