Gossum, Robin Sann
Gossum, Robin Sann is an individual health care provider with primary practice located at 1631 Hospital Dr Suite 200, Santa Fe NM 87505-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gossum, Robin Sann can be contacted via phone (505) 424-0200.Contact Information
Primary practice address
1631 Hospital Dr Suite 200
Santa Fe NM 87505-4728
Phone: (505) 424-0200
Fax: (505) 424-6608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 99-215 | New Mexico |
Profile Details
| NPI number | 1417904590 |
|---|---|
| LBN Legal business name | Gossum, Robin Sann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417904590 | NPPES |
| New Mexico | MEDICAID | 00068358 | |
| New Mexico | Other | NM001H17 | |
| New Mexico | Other | 1000473 | |
| New Mexico | Other | 2340202 | |
| New Mexico | Other | 2083796 | |
| New Mexico | Other | PROVP13125 | |
| New Mexico | Other | 202007381 | |
| New Mexico | Other | 9120159 |
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