Gustafson, Janel Marie

Gustafson, Janel Marie is an sole proprietor health care provider with primary practice located at 10391 Ridge Rd , Danbury WI 54830-9158. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gustafson, Janel Marie can be contacted via phone (715) 656-4274.

Contact Information

Primary practice address
10391 Ridge Rd Danbury WI 54830-9158
Phone: (715) 656-4274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Wisconsin

Profile Details

NPI number 1538339635
LBN Legal business name Gustafson, Janel Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2008
Last updated Mar 4th, 2008 - about 18 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 1538339635 NPPES
Wisconsin MEDICAID 35046200

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