Organization
GOSS CHIROPRACTIC CLINIC AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WILLIS GOSS DC (OWNER)
(570) 829-5888
Entity
Organization
Contact information
Practice address
1498 SANS SOUCI PARKWAY, HANOVER TOWNSHIP, PA 18706
(570) 829-5888
(570) 970-2757
Mailing address
1498 SANS SOUCI PARKWAY, HANOVER TOWNSHIP, PA 18706
(570) 829-5888
(570) 970-2757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC5357L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014723000002
—
PA
Enumeration date
07/21/2006
Last updated
09/26/2007
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