Gonstead, Andrea

Gonstead, Andrea is an individual health care provider with primary practice located at 3535 Clinic Road , Beloit WI 53511. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gonstead, Andrea can be contacted via phone (608) 365-1656.

Contact Information

Primary practice address
3535 Clinic Road Beloit WI 53511
Phone: (608) 365-1656
Fax: (608) 365-2250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3123 Wisconsin

Profile Details

NPI number 1275692360
LBN Legal business name Gonstead, Andrea
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Oct 29th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275692360 NPPES
Wisconsin MEDICAID 38883200

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