Goosen, Brian Spencer

Goosen, Brian Spencer is an individual health care provider with primary practice located at 3802 W Kalamazoo St , Lansing MI 48917-3653. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Goosen, Brian Spencer can be contacted via phone (517) 485-7300.

Contact Information

Primary practice address
3802 W Kalamazoo St Lansing MI 48917-3653
Phone: (517) 485-7300
Fax: (517) 485-7301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X BG001798 Michigan

Profile Details

NPI number 1679652283
LBN Legal business name Goosen, Brian Spencer
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
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 1679652283 NPPES
Michigan Other 4852310360 BLUE CROSS
Michigan MEDICAID 3247656 BLUE CROSS
Michigan Other 2700022 BLUE CROSS

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