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Contact Information

CHAD GUSTAFSON, NRP, IDHS
1650 17TH ST NW
WASHINGTON, DC20500
 Phone: 202-814-6607
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for CHAD GUSTAFSON · (Male)

NPI Number 1245976158
Status Active
Credentials NRP, IDHS
Entity Individual
Enumeration date 05/12/2022
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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