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
Fax: (530) 605-1152
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881625465 NPPES
California Other 11423T OPTOMETRIC LICENSE
California MEDICAID SD0114230 OPTOMETRIC LICENSE

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