Gustafson, Jennifer Christine
Gustafson, Jennifer Christine is an individual health care provider with primary practice located at 1215 Sw G St , Grants Pass OR 97526-2544. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gustafson, Jennifer Christine can be contacted via phone (541) 476-2373.Contact Information
Primary practice address
1215 Sw G St
Grants Pass OR 97526-2544
Phone: (541) 476-2373
Fax: (541) 476-1526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1386923175 |
|---|---|
| LBN Legal business name | Gustafson, Jennifer Christine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2011 |
| Last updated | Aug 10th, 2011 - about 13 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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