Gosse Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4321012 Issued in WI

Legal business name

GOSSE CHIROPRACTIC LLC

Practice address

702C East Willow Drive
Spencer, WI 54479-9344

Phone

(715) 659-4411

Fax

(715) 659-4414

NPI assigned

Jul 13, 2007

Organization subpart

No

Name

Dr. Clint Jason Gosse, D.C.

Title

Owner

Phone

(715) 659-4411

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2007.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1740489228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702C EAST WILLOW DRIVE",
            "city": "SPENCER",
            "state": "WI",
            "postal_code": "544799344",
            "telephone_number": "715-659-4411",
            "fax_number": "715-659-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702C EAST WILLOW DRIVE",
            "city": "SPENCER",
            "state": "WI",
            "postal_code": "544799344",
            "telephone_number": "715-659-4411",
            "fax_number": "715-659-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSSE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "GOSSE",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-659-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4321012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Ann Becker, RN
• Melissa Mae Delo, RN
• Clint Jason Gosse, D.C.
• Alison E Heintz, MSAT
• Lisa Mae Lehman, COTA
• Carolyn Lewis
• Kris A.. Meinders, R.N.

• All providers in Spencer, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.