Gustafson, Jon Montgomery
Gustafson, Jon Montgomery is an sole proprietor health care provider with primary practice located at 4636 55Th St , Boulder CO 80301-3005. He recently has only one registered license in Other Service Providers / Veterinarian, which is considered as his primary health care specialty. Gustafson, Jon Montgomery can be contacted via phone (303) 530-2500.Contact Information
Primary practice address
4636 55Th St
Boulder CO 80301-3005
Phone: (303) 530-2500
Fax: (303) 530-2885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Veterinarian | 174M00000X | 3822 | Colorado |
Profile Details
| NPI number | 1407272974 |
|---|---|
| LBN Legal business name | Gustafson, Jon Montgomery |
| Credentials | Doctor of Veterinary Medicine (DVM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2014 |
| Last updated | Mar 8th, 2014 - about 10 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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