Gustafson, Carrie

Gustafson, Carrie is an individual health care provider with primary practice located at 915 S Laredo St Unit 200 , San Antonio TX 78204-3211. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal. Dietary & Nutritional Service Providers / Nutrition, Renal is her primary health care specialty. Gustafson, Carrie can be contacted via phone (520) 560-5583.

Contact Information

Primary practice address
915 S Laredo St Unit 200 San Antonio TX 78204-3211
Phone: (520) 560-5583
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT86371 Texas
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X DT86371 Texas

Profile Details

NPI number 1306435169
LBN Legal business name Gustafson, Carrie
Credentials RDN, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2021
Last updated Jan 19th, 2021 - about 5 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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