Gudmestad, Scott Gerard

Gudmestad, Scott Gerard is an individual health care provider with primary practice located at 305 W Jackson St , Carbondale IL 62901-1474. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gudmestad, Scott Gerard can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
305 W Jackson St Carbondale IL 62901-1474
Phone: (618) 549-0721
Fax: (618) 529-0403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070019732 Illinois

Profile Details

NPI number 1811311855
LBN Legal business name Gudmestad, Scott Gerard
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2014
Last updated Feb 11th, 2014 - about 12 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.

Request for update

Popular Providers