Gustafson, Craig Robert

Gustafson, Craig Robert is an individual health care provider with primary practice located at 707 S Park St , Deer Park WA 99006-7025. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gustafson, Craig Robert can be contacted via phone (509) 276-8811.

Contact Information

Primary practice address
707 S Park St Deer Park WA 99006-7025
Phone: (509) 276-8811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1629685573
LBN Legal business name Gustafson, Craig Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2020
Last updated May 22nd, 2024 - about last year

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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