Gonstead, Andrea
Gonstead, Andrea is an individual health care provider with primary practice located at 3535 Clinic Road , Beloit WI 53511. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gonstead, Andrea can be contacted via phone (608) 365-1656.Contact Information
Primary practice address
3535 Clinic Road
Beloit WI 53511
Phone: (608) 365-1656
Fax: (608) 365-2250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 3123 | Wisconsin |
Profile Details
NPI number | 1275692360 |
---|---|
LBN Legal business name | Gonstead, Andrea |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Oct 29th, 2010 - about 14 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 | 1275692360 | NPPES |
Wisconsin | MEDICAID | 38883200 |
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