Carter Gustafson, Jacqueline Jeanette

Carter Gustafson, Jacqueline Jeanette is an individual health care provider with primary practice located at 2700 Westside Dr Nw Ste 204 , Cleveland TN 37312-3682. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Carter Gustafson, Jacqueline Jeanette can be contacted via phone (423) 244-9270.

Contact Information

Primary practice address
2700 Westside Dr Nw Ste 204 Cleveland TN 37312-3682
Phone: (423) 244-9270
Fax: (423) 244-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD67660 Tennessee

Profile Details

NPI number 1023209632
LBN Legal business name Carter Gustafson, Jacqueline Jeanette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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