Gustafson, Alan Keith
Gustafson, Alan Keith is an individual health care provider with primary practice located at 4890 32Nd Ave Se , Salem OR 97317-9350. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Gustafson, Alan Keith can be contacted via phone (503) 588-5647.Contact Information
Primary practice address
4890 32Nd Ave Se
Salem OR 97317-9350
Phone: (503) 588-5647
Fax: (503) 779-1992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1003392515 |
|---|---|
| LBN Legal business name | Gustafson, Alan Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2018 |
| Last updated | Jul 17th, 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.
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