Mr Frank Warren Gustafson, RPT is a
Physical Therapist based in Indian Wells, California. Mr Frank Warren Gustafson is licensed to practice in California (license number PT14299) and his current practice location is
45240 Club Drive, Indian Wells, California. He can be reached at his office (for appointments etc.) via phone at
(760) 200-3322.
NPI number for Mr Frank Warren Gustafson is 1689746125 and his current mailing address is 45240 Club Drive, Indian Wells, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689746125.
Healthcare Provider's Profile
| Full Name | Mr Frank Warren Gustafson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 45240 Club Drive, Indian Wells, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689746125
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Frank Warren Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689746125 | NPI | - | NPPES |
| OPT142990 | Other | | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT14299 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Frank Warren Gustafson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Frank Warren Gustafson, RPT
45240 Club Drive,
Indian Wells, CA 92210
Ph: (760) 200-3322 | Mr Frank Warren Gustafson, RPT
45240 Club Drive,
Indian Wells, CA 92210
Ph: (760) 200-3322 |
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