Antoine, Gus

Antoine, Gus is an individual health care provider with primary practice located at 2033 Ft Campbell Blvd Suite A Pmb 1089, Clarksville TN 37042. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Antoine, Gus can be contacted via phone (833) 687-8333.

Contact Information

Primary practice address
2033 Ft Campbell Blvd Suite A Pmb 1089 Clarksville TN 37042
Phone: (833) 687-8333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 7094741 Louisiana

Profile Details

NPI number 1376296582
LBN Legal business name Antoine, Gus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2022
Last updated Jan 28th, 2022 - about 2 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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