Gustafson, Jean A

Gustafson, Jean A is an sole proprietor health care provider with primary practice located at 17 Thalia St , Mill Valley CA 94941-2020. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Gustafson, Jean A can be contacted via phone (415) 388-7144.

Contact Information

Primary practice address
17 Thalia St Mill Valley CA 94941-2020
Phone: (415) 388-7144
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A042354 California

Profile Details

NPI number 1578802054
LBN Legal business name Gustafson, Jean A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Feb 4th, 2013 - about 13 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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