Gundersen, Nicole

Gundersen, Nicole is an individual health care provider with primary practice located at 12380 Depaul Drive , Bridgeton MO 63044-2511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Gundersen, Nicole can be contacted via phone (314) 809-1860.

Contact Information

Primary practice address
12380 Depaul Drive Bridgeton MO 63044-2511
Phone: (314) 809-1860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 2011025926 Missouri

Profile Details

NPI number 1972994309
LBN Legal business name Gundersen, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2015
Last updated Feb 6th, 2015 - about 9 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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