Gustafson, Nathanael
Gustafson, Nathanael is an individual health care provider with primary practice located at 1118 Starlight Dr , Madison WI 53711-2727. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Gustafson, Nathanael can be contacted via phone (815) 298-4872.Contact Information
Primary practice address
1118 Starlight Dr
Madison WI 53711-2727
Phone: (815) 298-4872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1801591128 |
|---|---|
| LBN Legal business name | Gustafson, Nathanael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2023 |
| Last updated | Apr 4th, 2023 - 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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