Gustin, Michelle
Gustin, Michelle is an individual health care provider with primary practice located at 2158 W Mason St , Green Bay WI 54303-4705. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gustin, Michelle can be contacted via phone (920) 490-9860.Contact Information
Primary practice address
2158 W Mason St
Green Bay WI 54303-4705
Phone: (920) 490-9860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2624 | Wisconsin |
Profile Details
| NPI number | 1336106939 |
|---|---|
| LBN Legal business name | Gustin, Michelle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jan 3rd, 2008 - about 18 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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