Gosnell, Kenneth A
Gosnell, Kenneth A is an sole proprietor health care provider with primary practice located at 120 Strode Cir , Clemson SC 29631-1484. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gosnell, Kenneth A can be contacted via phone (864) 624-9355.Contact Information
Primary practice address
120 Strode Cir
Clemson SC 29631-1484
Phone: (864) 624-9355
Fax: (864) 624-9356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2047 | South Carolina |
Profile Details
| NPI number | 1104815653 |
|---|---|
| LBN Legal business name | Gosnell, Kenneth A |
| Credentials | CH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Oct 21st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104815653 | NPPES |
| South Carolina | MEDICAID | GCH130 | |
| South Carolina | MEDICAID | CH2047 |
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