Gustitus, Glenn A.

Gustitus, Glenn A. is an individual health care provider with primary practice located at 809 Elmhurst Blvd , Salina KS 67401-7405. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gustitus, Glenn A. can be contacted via phone (785) 823-6322.

Contact Information

Primary practice address
809 Elmhurst Blvd Salina KS 67401-7405
Phone: (785) 823-6322
Fax: (785) 823-3109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LCP 112 Kansas

Profile Details

NPI number 1639113582
LBN Legal business name Gustitus, Glenn A.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 1st, 2008 - about 18 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 1639113582 NPPES
Kansas Other 393277 BLUE CROSS BLUE SHIELD

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