Provider Demographics
NPI:1518053610
Name:GOSS, WILLIAM FRANCIS (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:GOSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 METROPOLITAN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4707
Mailing Address - Country:US
Mailing Address - Phone:586-264-2100
Mailing Address - Fax:586-264-1117
Practice Address - Street 1:5600 METROPOLITAN PARKWAY
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4707
Practice Address - Country:US
Practice Address - Phone:586-264-2100
Practice Address - Fax:586-264-1117
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIWG006848111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4326413Medicaid
MI950E052390OtherBCBS
MI4326600Medicaid
MI4326600Medicaid
MIU21463Medicare UPIN
MIN28140005Medicare ID - Type UnspecifiedTAX ID 383596016