Gustafson, Deb

Gustafson, Deb is an individual health care provider with primary practice located at 961 Spring St , Muskegon MI 49442-3278. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gustafson, Deb can be contacted via phone (231) 722-2861.

Contact Information

Primary practice address
961 Spring St Muskegon MI 49442-3278
Phone: (231) 722-2861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302024218 Michigan

Profile Details

NPI number 1093803041
LBN Legal business name Gustafson, Deb
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1093803041 NPPES
Michigan Other 5302024218 RPH LICENSE

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