Provider Demographics
NPI:1376522110
Name:GOSEY, LINDA SUSAN (DC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:SUSAN
Last Name:GOSEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:SUSAN
Other - Last Name:BRAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1025 C CAPE CORAL PKWY
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904
Mailing Address - Country:US
Mailing Address - Phone:239-542-1576
Mailing Address - Fax:239-542-1576
Practice Address - Street 1:1025 C CAPE CORAL PKWY
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904
Practice Address - Country:US
Practice Address - Phone:239-542-1576
Practice Address - Fax:239-542-1576
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006372111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U37531Medicare UPIN
FL22740Medicare ID - Type Unspecified