Gustafson, Mikayla Nicole
Gustafson, Mikayla Nicole is an individual health care provider with primary practice located at 119 N Union Ave Unit 1 , Fergus Falls MN 56537-2126. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gustafson, Mikayla Nicole can be contacted via phone (701) 330-7758.Contact Information
Primary practice address
119 N Union Ave Unit 1
Fergus Falls MN 56537-2126
Phone: (701) 330-7758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 10480 | Minnesota |
Profile Details
| NPI number | 1871207373 |
|---|---|
| LBN Legal business name | Gustafson, Mikayla Nicole |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2023 |
| Last updated | Nov 20th, 2023 - about last year |
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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