Gustafson, Samuel
Gustafson, Samuel is an individual health care provider with primary practice located at 16405 Northcross Dr Suite G-2, Huntersville NC 28078-5091. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gustafson, Samuel can be contacted via phone (704) 439-3406.Contact Information
Primary practice address
16405 Northcross Dr Suite G-2
Huntersville NC 28078-5091
Phone: (704) 439-3406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0000000651 | Tennessee |
Profile Details
| NPI number | 1740417575 |
|---|---|
| LBN Legal business name | Gustafson, Samuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2009 |
| Last updated | Jun 19th, 2009 - about 17 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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