MARCEL L GUSTIN, PA-C, Medical SCOTT AFB, IL

Contact Information

MARCEL L GUSTIN, PA-C

375 MDG
SCOTT AFB, IL 62225

Phone: 618-229-6088
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for MARCEL L GUSTIN · (Male)

NPI Number	`1144217076`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/05/2005
Last updated	05/28/2010 - About 16 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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