Thomas C Gustafson in Seattle - General Practice

Thomas C Gustafson - NPI 1821213612

Thomas C Gustafson is a General Practice in Seattle, Washington. Thomas C Gustafson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas C Gustafson is 1821213612. The last update date is 2008-07-14.

Thomas C Gustafson's current location address is 1717 Nw Market St, Seattle, Washington. You can contact this provider via phone number 2067820500 and fax number 2067820502. The mailing address for Thomas C Gustafson is 1717 Nw Market St, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thomas C Gustafson
Address 1717 Nw Market St, Seattle, Washington
Phone Number 2067820500
Fax Number 2067820502
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Gustafson Carl Thomas
Credentials D.O.
Telephone Number 2067820500

NPI Number Detail

NPI Number 1821213612
Provider Enumeration Date 2007-04-16
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 1717 Nw Market St
City Seattle
State Washington (WA)
Post Code 981075225
Phone Number 2067820500
Fax Number 2067820502

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No OP00001187
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9647421 WA --
1046325 WA --

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FAQs about Thomas C Gustafson

What is the unique 10-digit identifier code assigned to Thomas C Gustafson by the Centers for Medicare & Medicaid Services?

The Thomas C Gustafson has been issued the NPI (National Provider Identifier) 1821213612 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Thomas C Gustafson is geographically located?

The Thomas C Gustafson is physically situated at the following location: 1717 Nw Market St, Seattle, WA, 981075225.

What is the area of specialization for Thomas C Gustafson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas C Gustafson is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.

When did the Thomas C Gustafson receive its 1821213612?

The Thomas C Gustafson was issued its 1821213612 on 2007-04-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Thomas C Gustafson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas C Gustafson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-14.

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