Gustitus, David Michael

Gustitus, David Michael is an sole proprietor health care provider with primary practice located at 8391 Old Courthouse Rd Ste 350 , Vienna VA 22182-3819. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gustitus, David Michael can be contacted via phone (571) 378-0108.

Contact Information

Primary practice address
8391 Old Courthouse Rd Ste 350 Vienna VA 22182-3819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104-557688 Virginia

Profile Details

NPI number 1962458216
LBN Legal business name Gustitus, David Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Dec 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962458216 NPPES
Other 134317710 FEDERAL TAX ID

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