Gustafson, Susan E

Gustafson, Susan E is an individual health care provider with primary practice located at 21 Porter Ave , Jamestown NY 14701-6247. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gustafson, Susan E can be contacted via phone (716) 664-1909.

Contact Information

Primary practice address
21 Porter Ave Jamestown NY 14701-6247
Phone: (716) 664-1909
Fax: (716) 664-2214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA060649 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA060649 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016685 New York

Profile Details

NPI number 1417393927
LBN Legal business name Gustafson, Susan E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2013
Last updated Aug 20th, 2021 - about 4 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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