Goss, Jennifer Suzanne
Goss, Jennifer Suzanne is an individual health care provider with primary practice located at 1180 Seton Pkwy Suite 340, Kyle TX 78640-6178. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goss, Jennifer Suzanne can be contacted via phone (512) 504-0851.Contact Information
Primary practice address
1180 Seton Pkwy Suite 340
Kyle TX 78640-6178
Phone: (512) 504-0851
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M4111 | Texas |
Profile Details
NPI number | 1710180906 |
---|---|
LBN Legal business name | Goss, Jennifer Suzanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2007 |
Last updated | Jan 28th, 2013 - about 12 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 | 1710180906 | NPPES |
Texas | MEDICAID | 194598204 | |
Texas | MEDICAID | 194598205 |
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