Gossom, John Burk

Gossom, John Burk is an sole proprietor health care provider with primary practice located at 689 Airport Center Dr Ste B, Friday Harbor WA 98250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Gossom, John Burk can be contacted via phone (360) 378-1338.

Contact Information

Primary practice address
689 Airport Center Dr Ste B Friday Harbor WA 98250
Phone: (360) 378-1338
Fax: (360) 378-1830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD00018422 Washington

Profile Details

NPI number 1245221886
LBN Legal business name Gossom, John Burk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Mar 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245221886 NPPES
Other 5877GO REGENCE BLUE SHIELD
Other 912109329 REGENCE BLUE SHIELD
Other 912109329 REGENCE BLUE SHIELD
Other 0152514 REGENCE BLUE SHIELD
Other 5403470 REGENCE BLUE SHIELD
Other 912109329 REGENCE BLUE SHIELD
Other 912109329 REGENCE BLUE SHIELD
Other 912109329 REGENCE BLUE SHIELD
Other 361929500 REGENCE BLUE SHIELD
Other 532300001 REGENCE BLUE SHIELD
Other 8101404 REGENCE BLUE SHIELD
Other MD00018422 REGENCE BLUE SHIELD
Other 98250A003 REGENCE BLUE SHIELD
Other 8937843 REGENCE BLUE SHIELD
Other 912109329 REGENCE BLUE SHIELD

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