Gossard, Teresa A
Gossard, Teresa A is an individual health care provider with primary practice located at 2859 Boudinot Ave Ste 301, Cincinnati OH 45238-1606. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gossard, Teresa A can be contacted via phone (513) 661-3566.Contact Information
Primary practice address
2859 Boudinot Ave Ste 301
Cincinnati OH 45238-1606
Phone: (513) 661-3566
Fax: (513) 661-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4742 T1546 | Ohio |
Profile Details
| NPI number | 1861451031 |
|---|---|
| LBN Legal business name | Gossard, Teresa A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Dec 31st, 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 | 1861451031 | NPPES |
| Ohio | MEDICAID | 2107393 | |
| Ohio | Other | 410039511 |
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