Gustave, Jason

Gustave, Jason is an individual health care provider with primary practice located at 300 Pompton Rd , Wayne NJ 07470-2103. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gustave, Jason can be contacted via phone (201) 786-2277.

Contact Information

Primary practice address
300 Pompton Rd Wayne NJ 07470-2103
Phone: (201) 786-2277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1164930285
LBN Legal business name Gustave, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Dec 16th, 2021 - 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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