Goss, Keith Alan

Goss, Keith Alan is an individual health care provider with primary practice located at 3042 W. Queek Creek Rd. , Chandler AZ 85286-0038. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Goss, Keith Alan can be contacted via phone (520) 796-2600.

Contact Information

Primary practice address
3042 W. Queek Creek Rd. Chandler AZ 85286-0038
Phone: (520) 796-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103300903 Virginia

Profile Details

NPI number 1700860715
LBN Legal business name Goss, Keith Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 12th, 2018 - about 8 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 1700860715 NPPES
New Mexico MEDICAID 31587500
New Mexico MEDICAID 35352060
New Mexico MEDICAID 892697

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