Gustafson, Alyssa
Gustafson, Alyssa is an individual health care provider with primary practice located at 1099 N Main St Ste 102 , Summerville SC 29483-7300. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gustafson, Alyssa can be contacted via phone (843) 536-8577.Contact Information
Primary practice address
1099 N Main St Ste 102
Summerville SC 29483-7300
Phone: (843) 536-8577
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 11961 | South Carolina |
Profile Details
| NPI number | 1053081232 |
|---|---|
| LBN Legal business name | Gustafson, Alyssa |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2021 |
| Last updated | Sep 17th, 2021 - about 5 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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