Gustafson, Rylan

Gustafson, Rylan is an sole proprietor health care provider with primary practice located at 101 Raley Blvd Suite 202, Chico CA 95928-8352. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Gustafson, Rylan can be contacted via phone (530) 592-4688.

Contact Information

Primary practice address
101 Raley Blvd Suite 202 Chico CA 95928-8352
Phone: (530) 592-4688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 57593 California

Profile Details

NPI number 1245226752
LBN Legal business name Gustafson, Rylan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Aug 18th, 2011 - about 13 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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