Gonstead, Mary J
Gonstead, Mary J is an sole proprietor health care provider with primary practice located at 431 E Clairemont Ave , Eau Claire WI 54701-3685. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gonstead, Mary J can be contacted via phone (715) 832-2223.Contact Information
Primary practice address
431 E Clairemont Ave
Eau Claire WI 54701-3685
Phone: (715) 832-2223
Fax: (715) 832-7416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2063-012 | Wisconsin |
Profile Details
| NPI number | 1508866161 |
|---|---|
| LBN Legal business name | Gonstead, Mary J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Oct 9th, 2018 - about 7 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 | 1508866161 | NPPES |
| Wisconsin | Other | 391744596019 | BLUE CROSS |
| Wisconsin | Other | 350010622 | BLUE CROSS |
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