Gausby, Justine E
Gausby, Justine E is an individual health care provider with primary practice located at 4 Commerce Ln , Canton NY 13617-3739. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gausby, Justine E can be contacted via phone (315) 386-8191.Contact Information
Primary practice address
4 Commerce Ln
Canton NY 13617-3739
Phone: (315) 386-8191
Fax: (315) 386-1410
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | 026914 | New York |
Profile Details
NPI number | 1710223656 |
---|---|
LBN Legal business name | Gausby, Justine E |
Credentials | Registered Dental Hygienist (RDH) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 21st, 2012 |
Last updated | Dec 21st, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710223656 | NPPES |
New York | MEDICAID | 01995615 |
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