Gustafson, Nik

Gustafson, Nik is an sole proprietor health care provider with primary practice located at 110105 Pioneer Trl W Suite 201, Chaska MN 55318-2680. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gustafson, Nik can be contacted via phone (952) 512-4270.

Contact Information

Primary practice address
110105 Pioneer Trl W Suite 201 Chaska MN 55318-2680
Phone: (952) 512-4270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2824 Minnesota

Profile Details

NPI number 1386192276
LBN Legal business name Gustafson, Nik
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2016
Last updated Sep 20th, 2016 - about 10 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 1386192276 NPPES
Minnesota Other 225A2300X REHABILITATION SERVICES

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