Kurt Joseph Gustafson
Foot Surgery
215 S 1st St
Lehighton
, Pennsylvania 18235-2163
Kurt Joseph Gustafson
Foot Surgery
215 S 1st St
Lehighton
, Pennsylvania 18235-2163
(610) 377-6744
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Kurt Joseph Gustafson
- 215 S 1st St
- Lehighton, PA
- Zip : 18235-2163
- Fax : (610) 377-6744
- Phone : (610) 377-5544
Second Address
- Kurt Joseph Gustafson
- 215 S 1st St
- Lehighton, PA
- Zip : 18235-2163
- Fax : (610) 377-6744
- Phone : (610) 377-5544
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | SC004598L | PA |
National Provider Identifier
| NPI | 1326069055 |
|---|---|
| Provider Name | Kurt Joseph Gustafson |
| First Address | Lehighton, PA 18235-2163 |
| Second Address | Lehighton, PA 18235-2163 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 21/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0008247770003 | (05) | PA |
| 2811707 | AETNA NO (01) | PA |
| 480033403 | RAILROAD MEDICARE (01) | PA |
| 50000307 | BLUE CROSS (01) | PA |
| 80426 | GEISINGER (01) | PA |
| 815699 | 1ST PRIORITY (01) | PA |
| U82363 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.