Thomas W Gustafson in Colts Neck - Chiropractor
Thomas W Gustafson - NPI 1174644363
Thomas W Gustafson is a Chiropractor in Colts Neck, New Jersey. Thomas W Gustafson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas W Gustafson is 1174644363. The last update date is 2010-05-18.
Thomas W Gustafson's current location address is 81 State Route 34 S, Colts Neck, New Jersey. You can contact this provider via phone number 7326830200 and fax number 7326831004. The mailing address for Thomas W Gustafson is 81 State Route 34 S, Colts Neck, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas W Gustafson |
|---|---|
| Address | 81 State Route 34 S, Colts Neck, New Jersey |
| Phone Number | 7326830200 |
| Fax Number | 7326831004 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1174644363 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2010-05-18 |
Provider Mailing Address Detail
| Address | 81 State Route 34 S |
|---|---|
| City | Colts Neck |
| State | New Jersey (NJ) |
| Post Code | 77221783 |
| Phone Number | 7326830200 |
| Fax Number | 7326831004 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38MC00554200 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223746483 | NJ | TAX IDENTIFICATON NUMBER |
Post Comment/ Review Below
What is the Thomas W Gustafson's unique identification number?
The Thomas W Gustafson has been assigned the NPI (National Provider Identifier) Number 1174644363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Thomas W Gustafson is physically located?
The Thomas W Gustafson is physically situated at the following address: 81 State Route 34 S, Colts Neck, NJ, 77221783.
What is the Thomas W Gustafson's specialty and taxonomy code?
The Thomas W Gustafson's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Thomas W Gustafson receive the assignment of its 1174644363 from the Centers for Medicare & Medicaid Services?
The Thomas W Gustafson was issued its 1174644363 by the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the details related to Thomas W Gustafson most recently updated or revised?
The information pertaining to Thomas W Gustafson, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-18.