MEDICARE: JUSTIN GOSLIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	31892	CA

General Provider Information

NPI Number	:	1548533953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN GOSLIN DC

Provider Business Mailing Address
First Line	:	5631 KIRKWOOD PL N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5929
Country	:	US
Telephone Number	:	716-432-9323
Fax Number	:

Provider Business Practice Location Address
First Line	:	5631 KIRKWOOD PL N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5929
Country	:	US
Telephone Number	:	716-432-9323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	02/15/2012

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Directions to “ JUSTIN GOSLIN DC” Practice Location

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