Ty C. Gulstrom is a Medical in Mount Vernon, Washington. Ty C. Gulstrom practices all healthcare services and medical treatments related to Medical. The NPI Number for Ty C. Gulstrom is 1558306373. The last update date is 2015-02-18.
Ty C. Gulstrom's current location address is 1400 E. Kincaid Street, Mount Vernon, Washington. You can contact this provider via phone number 3604286434 and fax number 3608484233. The mailing address for Ty C. Gulstrom is 1400 E. Kincaid Street, Mount Vernon, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ty C. Gulstrom |
---|---|
Address | 1400 E. Kincaid Street, Mount Vernon, Washington |
Phone Number | 3604286434 |
Fax Number | 3608484233 |
Sole Proprietor | N |
Credentials | PA- C |
NPI Number Detail
NPI Number | 1558306373 |
---|---|
Provider Enumeration Date | 2006-06-17 |
Last Updated Date | 2015-02-18 |
Provider Mailing Address Detail
Address | 1400 E. Kincaid Street |
---|---|
City | Mount Vernon |
State | Washington (WA) |
Post Code | 982744127 |
Phone Number | 3604286434 |
Fax Number | 3608484233 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
---|---|
Taxonomy | 363Am0700X |
Licence No | PA10004348 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8386484 | WA | -- | |
3479GU | WA | BSWA | |
605960012 | USDLAB | ||
216864 | WA | LIWA |
Post Comment/ Review Below
What is the Ty C. Gulstrom's unique identification number?
The Ty C. Gulstrom has been assigned the NPI (National Provider Identifier) Number 1558306373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the Ty C. Gulstrom's area of specialization and corresponding taxonomy classification?
The Ty C. Gulstrom's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
What is Ty C. Gulstrom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ty C. Gulstrom is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
When did the Ty C. Gulstrom receive its 1558306373?
The Ty C. Gulstrom was issued its 1558306373 on 2006-06-17, which is the date when the organization was assigned this unique identifier.
On what date did the Ty C. Gulstrom receive its 1558306373 assignment from the Centers for Medicare & Medicaid Services?
The Ty C. Gulstrom was assigned its 1558306373 by the Centers for Medicare & Medicaid Services on 2006-06-17.