Doctor Name: | MS. ELIZABETH COLLEEN GOSS |
NPI Number: | 1700208501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 6301015708 |
Business Practice Address: | 218 Fast Ice Dr Midland, MI - 486426167 |
Business Phone Number: | 9896312320 |
Business Fax Number: | 9896319903 |
Mailing Address: | 218 Fast Ice Dr, MIDLAND |
State: | MI |
Postal Code: | 486426167 |
Phone Number: | 9896312320 |
Fax Number: | 9896319903 |
NPI Enumeration Date: | 01/13/2014 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 6301015708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |