Gossage, Ivan Robert

Gossage, Ivan Robert is an individual health care provider with primary practice located at 1660 Humboldt Rd Ste 3 , Chico CA 95928-9199. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Vocational Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Gossage, Ivan Robert can be contacted via phone (530) 530-3370.

Contact Information

Primary practice address
1660 Humboldt Rd Ste 3 Chico CA 95928-9199
Phone: (530) 530-3370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 808252 California
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 231037 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95014269 California

Profile Details

NPI number 1386807030
LBN Legal business name Gossage, Ivan Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Oct 12th, 2021 - about 4 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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