Westerso, Gina K

Westerso, Gina K is an sole proprietor health care provider with primary practice located at 1213 15Th Ave W , Williston ND 58801-3800. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Westerso, Gina K can be contacted via phone (701) 572-7641.

Contact Information

Primary practice address
1213 15Th Ave W Williston ND 58801-3800
Fax: (701) 572-7710
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1144354481
LBN Legal business name Westerso, Gina K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1144354481 NPPES
Montana MEDICAID 0550919

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