Goss, Jesse C
Goss, Jesse C is an sole proprietor health care provider with primary practice located at 1103 S 31St St , Temple TX 76504-5214. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Goss, Jesse C can be contacted via phone (254) 771-5002.Contact Information
Primary practice address
1103 S 31St St
Temple TX 76504-5214
Phone: (254) 771-5002
Fax: (254) 771-5008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 01313 | Texas |
Profile Details
| NPI number | 1114102787 |
|---|---|
| LBN Legal business name | Goss, Jesse C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Jun 20th, 2008 - about 16 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 | 1114102787 | NPPES |
| Texas | Other | 01313 | TEXAS BOARD |
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