Gustafson, Heather

Gustafson, Heather is an individual health care provider with primary practice located at 1401 Lake St , Kewanee IL 61443-1649. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gustafson, Heather can be contacted via phone (309) 852-2449.

Contact Information

Primary practice address
1401 Lake St Kewanee IL 61443-1649
Phone: (309) 852-2449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146009642 Illinois

Profile Details

NPI number 1144748237
LBN Legal business name Gustafson, Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Dec 3rd, 2020 - about 4 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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