Goss, Jerry Willis

Goss, Jerry Willis is an sole proprietor health care provider with primary practice located at 1498 Sans Souci Pkwy , Hanover Township PA 18706-6026. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Goss, Jerry Willis can be contacted via phone (570) 829-5888.

Contact Information

Primary practice address
1498 Sans Souci Pkwy Hanover Township PA 18706-6026
Phone: (570) 829-5888
Fax: (570) 970-2757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X DC-5357 L Pennsylvania

Profile Details

NPI number 1730376542
LBN Legal business name Goss, Jerry Willis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Sep 27th, 2007 - 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 1730376542 NPPES
Other G01678207 HIGHMARK
Other G0127263 HIGHMARK
Other 5566734 HIGHMARK
MEDICAID 0014723000002 HIGHMARK
Other 800211 HIGHMARK

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