Gosa, Michelle
Gosa, Michelle is an sole proprietor health care provider with primary practice located at 2329 S 24Th Ave , Broadview IL 60155-3822. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gosa, Michelle can be contacted via phone (708) 223-8848.Contact Information
Primary practice address
2329 S 24Th Ave
Broadview IL 60155-3822
Phone: (708) 223-8848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051290167 | Illinois |
Profile Details
| NPI number | 1114296415 |
|---|---|
| LBN Legal business name | Gosa, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2011 |
| Last updated | Jun 16th, 2014 - about 11 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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