Gustafson, Doug Allen

Gustafson, Doug Allen is an sole proprietor health care provider with primary practice located at 34724 Caprock Rd , Agua Dulce CA 91390-5422. He recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as his primary health care specialty. Gustafson, Doug Allen can be contacted via phone (661) 268-0791.

Contact Information

Primary practice address
34724 Caprock Rd Agua Dulce CA 91390-5422
Phone: (661) 268-0791
Fax: (661) 268-0792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1760592984
LBN Legal business name Gustafson, Doug Allen
Credentials ARDMS,RVT,RDCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 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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