Gustafson, Jennifer Ann
Gustafson, Jennifer Ann is an individual health care provider with primary practice located at 150 S Huntington Ave , Boston MA 02130-4817. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy, Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Low Vision Rehabilitation is her primary health care specialty. Gustafson, Jennifer Ann can be contacted via phone (857) 364-5543.Contact Information
Primary practice address
150 S Huntington Ave
Boston MA 02130-4817
Phone: (857) 364-5543
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | VUT 007353 | New York |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 007353 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 007353 | New York |
Profile Details
NPI number | 1023271418 |
---|---|
LBN Legal business name | Gustafson, Jennifer Ann |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2008 |
Last updated | Mar 17th, 2018 - about 6 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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