Gossens, Victoria A
Gossens, Victoria A is an sole proprietor health care provider with primary practice located at 3311 Packerland Dr Suite A #8, De Pere WI 54115-9552. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gossens, Victoria A can be contacted via phone (920) 360-9194.Contact Information
Primary practice address
3311 Packerland Dr Suite A #8
De Pere WI 54115-9552
Phone: (920) 360-9194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 802 123 | Wisconsin |
Profile Details
| NPI number | 1629121843 |
|---|---|
| LBN Legal business name | Gossens, Victoria A |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Aug 28th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629121843 | NPPES |
| Wisconsin | MEDICAID | 39625900 |
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