Goss, Charles B.

Goss, Charles B. is an individual health care provider with primary practice located at 28100 Grand River Ave Suite 102, Farmington Hills MI 48336-5967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goss, Charles B. can be contacted via phone (248) 471-5700.

Contact Information

Primary practice address
28100 Grand River Ave Suite 102 Farmington Hills MI 48336-5967
Phone: (248) 471-5700
Fax: (248) 851-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X CG006234 Michigan

Profile Details

NPI number 1952468779
LBN Legal business name Goss, Charles B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 25th, 2008 - 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 1952468779 NPPES
Michigan Other 2756329434 BLUE CROSS & BLUE SHIELD
Michigan MEDICAID 1091313 11 00 BLUE CROSS & BLUE SHIELD

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