Gustafson, Tori

Gustafson, Tori is an individual health care provider with primary practice located at 3601 4Th St Suite 2A300, Lubbock TX 79430-0002. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gustafson, Tori can be contacted via phone (806) 743-5678.

Contact Information

Primary practice address
3601 4Th St Suite 2A300 Lubbock TX 79430-0002
Phone: (806) 743-5678
Fax: (806) 743-5670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50936 Texas

Profile Details

NPI number 1629056585
LBN Legal business name Gustafson, Tori
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Nov 19th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629056585 NPPES
New Mexico MEDICAID 201021516
New Mexico Other 80138A
New Mexico Other 80761Z
New Mexico MEDICAID 100671140A
New Mexico MEDICAID 022426302
New Mexico Other 201021516
New Mexico MEDICAID Q6377
New Mexico MEDICAID 022426301
New Mexico Other A269

Popular Providers