Gospe, Jay Michael

Gospe, Jay Michael is an sole proprietor health care provider with primary practice located at 1701 Pamela Dr , Santa Rosa CA 95404-3140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gospe, Jay Michael can be contacted via phone (707) 542-8474.

Contact Information

Primary practice address
1701 Pamela Dr Santa Rosa CA 95404-3140
Phone: (707) 542-8474
Fax: (707) 595-5117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G11211 California

Profile Details

NPI number 1770853806
LBN Legal business name Gospe, Jay Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2012
Last updated Jan 5th, 2012 - about 14 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 1770853806 NPPES
California Other G11211 CALIFORNIA STATE LICENSE

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