Gosselin, Leo J

Gosselin, Leo J is an individual health care provider with primary practice located at 1571 Washington St Suite 201, Watertown NY 13601-9304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gosselin, Leo J can be contacted via phone (315) 782-1650.

Contact Information

Primary practice address
1571 Washington St Suite 201 Watertown NY 13601-9304
Phone: (315) 782-1650
Fax: (315) 788-8547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 216822 New York

Profile Details

NPI number 1124001995
LBN Legal business name Gosselin, Leo J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Oct 11th, 2007 - about 19 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 1124001995 NPPES
New York MEDICAID 02060373

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