Gustafson, Jordan Richard

Gustafson, Jordan Richard is an individual health care provider with primary practice located at 1301 Grundman Blvd , Nebraska City NE 68410-3319. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gustafson, Jordan Richard can be contacted via phone (402) 873-3321.

Contact Information

Primary practice address
1301 Grundman Blvd Nebraska City NE 68410-3319
Phone: (402) 873-3321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2349 Nebraska

Profile Details

NPI number 1033678644
LBN Legal business name Gustafson, Jordan Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2019
Last updated Mar 14th, 2019 - about 7 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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