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Contact Information

CHRISTOPHER G GASTELUM SR
1748 VICTOR HUGO LN
LAS VEGAS, NV89115-8231
 Phone: 702-793-8414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER G GASTELUM SR · (Male)

NPI Number 1083075980
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2016
Last updated 03/19/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 16-154
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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