Gostisha, Jill

Gostisha, Jill is an individual health care provider with primary practice located at 3705 Monroe Rd , De Pere WI 54115-4020. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gostisha, Jill can be contacted via phone (920) 336-6096.

Contact Information

Primary practice address
3705 Monroe Rd De Pere WI 54115-4020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 16440-040 Wisconsin

Profile Details

NPI number 1700291952
LBN Legal business name Gostisha, Jill
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Jun 26th, 2014 - about 10 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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