Goss, Jaime
Goss, Jaime is an individual health care provider with primary practice located at 73 Valley Rd , Middletown RI 02842-5234. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Goss, Jaime can be contacted via phone (401) 726-7100.Contact Information
Primary practice address
73 Valley Rd
Middletown RI 02842-5234
Phone: (401) 726-7100
Fax: (401) 433-0612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT02648 | Rhode Island |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 20842 | Massachusetts |
Profile Details
| NPI number | 1164642187 |
|---|---|
| LBN Legal business name | Goss, Jaime |
| Credentials | MPT, PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Nov 2nd, 2022 - about 3 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 | 1164642187 | NPPES |
| Massachusetts | MEDICAID | 110121031A | |
| Massachusetts | Other | 12109 | |
| Massachusetts | Other | 1801 |
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