Goss, Erin Braden

Goss, Erin Braden is an individual health care provider with primary practice located at 600 S Timberlane Dr , El Dorado AR 71730-6990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goss, Erin Braden can be contacted via phone (870) 862-1891.

Contact Information

Primary practice address
600 S Timberlane Dr El Dorado AR 71730-6990
Fax: (870) 862-1891
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-5508 Arkansas

Profile Details

NPI number 1861526121
LBN Legal business name Goss, Erin Braden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 7th, 2019 - about 7 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 1861526121 NPPES
Arkansas MEDICAID 180387001

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