Goss, David A.

Goss, David A. is an individual health care provider with primary practice located at 800 E Atwater Ave , Bloomington IN 47405-3635. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goss, David A. can be contacted via phone (812) 855-4447.

Contact Information

Primary practice address
800 E Atwater Ave Bloomington IN 47405-3635
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002651 Indiana

Profile Details

NPI number 1437127206
LBN Legal business name Goss, David A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 4th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437127206 NPPES
Indiana MEDICAID 100359660

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