Gustafson, Debra Ann

Gustafson, Debra Ann is an individual health care provider with primary practice located at 27 N 31St St , Newark OH 43055-2007. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Gustafson, Debra Ann can be contacted via phone (740) 322-3591.

Contact Information

Primary practice address
27 N 31St St Newark OH 43055-2007
Phone: (740) 322-3591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.082012 Ohio

Profile Details

NPI number 1477681039
LBN Legal business name Gustafson, Debra Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jun 4th, 2024 - about 5 months 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 1477681039 NPPES
Ohio MEDICAID 2480275

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