Gustafson, Amanda

Gustafson, Amanda is an individual health care provider with primary practice located at 100 Park St , Glens Falls NY 12801-4413. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gustafson, Amanda can be contacted via phone (518) 926-2627.

Contact Information

Primary practice address
100 Park St Glens Falls NY 12801-4413
Phone: (518) 926-2627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1548770373
LBN Legal business name Gustafson, Amanda
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2017
Last updated Aug 11th, 2021 - about 3 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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