Iwasiuk, Gosta W.
Iwasiuk, Gosta W. is an sole proprietor health care provider with primary practice located at 5855 Olivas Park Dr , Ventura CA 93003-7672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Iwasiuk, Gosta W. can be contacted via phone (805) 667-2801.Contact Information
Primary practice address
5855 Olivas Park Dr
Ventura CA 93003-7672
Phone: (805) 667-2801
Fax: (805) 667-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A22839 | California |
Profile Details
| NPI number | 1114023249 |
|---|---|
| LBN Legal business name | Iwasiuk, Gosta W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jan 31st, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114023249 | NPPES |
| California | Other | A22839 | STATE LICENSE |
| California | MEDICAID | 00A228391 | STATE LICENSE |
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