Gustafson, Jill Elizabeth
Gustafson, Jill Elizabeth is an sole proprietor health care provider with primary practice located at 5680 Dorothy Way , San Diego CA 92115-2307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gustafson, Jill Elizabeth can be contacted via phone (619) 265-9204.Contact Information
Primary practice address
5680 Dorothy Way
San Diego CA 92115-2307
Phone: (619) 265-9204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G72927 | California |
Profile Details
| NPI number | 1497726574 |
|---|---|
| LBN Legal business name | Gustafson, Jill Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Nov 30th, 2021 - about 3 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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