Gott, George Michael
Gott, George Michael is an sole proprietor health care provider with primary practice located at 1012 12Th Ave S , Nampa ID 83651-4661. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gott, George Michael can be contacted via phone (208) 794-4774.Contact Information
Primary practice address
1012 12Th Ave S
Nampa ID 83651-4661
Phone: (208) 794-4774
Fax: (208) 466-9240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA490 | Idaho |
Profile Details
| NPI number | 1265601231 |
|---|---|
| LBN Legal business name | Gott, George Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Nov 9th, 2009 - about 17 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 | 1265601231 | NPPES |
| Idaho | MEDICAID | 001758900 |
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