DR. CLINT JASON GOSSE (NPI# 1821295205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821295205 |
| Entity Type | Individual |
| Full Name | DR. CLINT JASON GOSSE |
| Credential | D.C. |
| Practice Address |
208 W Cedar St Spencer WI 54479 |
| Mailing Address |
208 W Cedar St Spencer WI 54479-4400 |
| Practice Telephone | 7156594411 |
| Practice Fax Number | 7156594414 |
| Mailing Telephone | 7156594411 |
| Mailing Fax Number | 7156594414 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4321-012 | WI | Chiropractic Providers |
| Street Address |
208 W CEDAR ST |
| City | SPENCER |
| State | WI |
| Zip Code | 54479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467753517 | Jordan Zahn Vogel | Registered Nurse | 305 North Spring St., Spencer, WI 54479 | 2010-11-05 |
| 1043436223 | Kris A.. Meinders | Registered Nurse | S360 Hwy C, Spencer, WI 54479 | 2007-04-17 |
| 1447303250 | Carol B. Sallee | Registered Nurse | W1110 Stump Rd, Spencer, WI 54479-9053 | 2007-01-18 |
| 1528364031 | Susan Ann Mueller | Registered Nurse | 802 Peach St, Spencer, WI 54479-9257 | 2011-01-31 |
| 1659551968 | School District of Spencer | Local Education Agency (LEA) | 300 School St, Spencer, WI 54479-9300 | 2007-11-05 |
| 1740489228 | Gosse Chiropractic LLC | Chiropractor | 702c East Willow Drive, Spencer, WI 54479-9344 | 2007-07-13 |
| 1619056884 | Carolyn Lewis | Physical Therapist | 702 E Willow Dr, Spencer, WI 54479-9344 | 2006-11-06 |
| 1619279874 | Kristen Ann Becker | Registered Nurse | 1108 Aspen St, Spencer, WI 54479-9357 | 2010-11-21 |
| 1639344062 | Lisa Mae Lehman | Occupational Therapy Assistant | S1116 Twin View Dr, Spencer, WI 54479-9367 | 2008-04-27 |
| 1164552105 | Spencer Area Fire and Ambulance Commission | Ambulance | 206 W Willow Drive, 206 W Willow Drive, Spencer, WI 54479-9552 | 2007-03-07 |
| Find all providers in zip 54479 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013374701 | Walburg Family Chiropractic, LLC | Chiropractor | 603 S Grand Ave, Suite 2, Spencer, IA 51301-5350 | 2016-01-26 |
| 1700259215 | Jonathan Walburg | Chiropractor | 20 West 6th St., Suite 2, Spencer, IA 51301-5350 | 2015-11-05 |
| 1376800516 | Active Health Chiropractic Sp Pllc | Chiropractor | 1019 S Grand Ave, Suite 2, Spencer, IA 51301-5722 | 2012-04-12 |
| 1740489228 | Gosse Chiropractic LLC | Chiropractor | 702c East Willow Drive, Spencer, WI 54479-9344 | 2007-07-13 |
| 1598880916 | Fisher Family Chiropractic P.C. | Chiropractor | 202 Grand Ave, Spencer, IA 51301-4157 | 2007-03-21 |
| 1679600589 | Erin R Rabel | Chiropractor | 4 Grand Ave, Spencer, IA 51301-4220 | 2007-02-27 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1104905413 | Dean Herman Pingel | Chiropractor | 19 10th St Sw, Spencer, IA 51301-1185 | 2006-11-06 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| 1528011509 | Alton Lee Annabel D.c. | Chiropractor | 252b Van Etten Rd, Spencer, NY 14883-9568 | 2006-05-18 |
| Find all providers in SPENCER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.