Gussenhoven, Julie Lynn
Gussenhoven, Julie Lynn is an sole proprietor health care provider with primary practice located at 3416 Bechelli Lane , Redding CA 96002-2432. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gussenhoven, Julie Lynn can be contacted via phone (530) 222-7290.Contact Information
Primary practice address
3416 Bechelli Lane
Redding CA 96002-2432
Phone: (530) 222-7290
Fax: (530) 605-1152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 11423T | California |
Profile Details
NPI number | 1881625465 |
---|---|
LBN Legal business name | Gussenhoven, Julie Lynn |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2006 |
Last updated | Nov 13th, 2013 - about 11 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 | 1881625465 | NPPES |
California | Other | 11423T | OPTOMETRIC LICENSE |
California | MEDICAID | SD0114230 | OPTOMETRIC LICENSE |
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