Gustafson-Rairie, Kristina

Gustafson-Rairie, Kristina is an sole proprietor health care provider with primary practice located at 130 Heights Ave , Inverness FL 34452-4571. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gustafson-Rairie, Kristina can be contacted via phone (352) 746-9233.

Contact Information

Primary practice address
130 Heights Ave Inverness FL 34452-4571
Phone: (352) 746-9233
Fax: (352) 746-9323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 5386 Florida

Profile Details

NPI number 1730271396
LBN Legal business name Gustafson-Rairie, Kristina
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
Last updated Oct 12th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730271396 NPPES
Florida MEDICAID 886615500
Florida Other S2526

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