Goss, Marcus Derrell

Goss, Marcus Derrell is an sole proprietor health care provider with primary practice located at 12107 Heritage Park Rd 136, Oklahoma City OK 73120-9514. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Goss, Marcus Derrell can be contacted via phone (707) 731-3357.

Contact Information

Primary practice address
12107 Heritage Park Rd 136 Oklahoma City OK 73120-9514
Phone: (707) 731-3357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1619255031
LBN Legal business name Goss, Marcus Derrell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2011
Last updated Aug 2nd, 2011 - about 13 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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