Gavin Alexander Fusting
Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).
NPI number1962058461
StatusActive
Last updated in NPPESAug 12, 2019
Details
- NPI
- 1962058461
- Entity type
- Individual (NPI-1)
- Name
- Gavin Alexander Fusting
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2019
- Last updated
- Aug 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
535 Irving Schottenstein DrColumbus, OH 43210-1044
Phone 614-292-2531
Mailing address
2141 Summit StreetColumbus, OH 43201
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