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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1861451031 NPPES
Ohio MEDICAID 2107393
Ohio Other 410039511

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