Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | LARRY J JR GOISSE · Larry J. Goisse Jr. | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Larry | [sources] | |||
ID Number | SP014433 / RN577684 | [sources] | |||
Last name | Goisse | [sources] | |||
Middle name | J JR · J. | [sources] | |||
NPI | 1437555109 | [sources] | |||
Title | CRNP/RN | [sources] | |||
Position | NURSE PRACTITIONER ( (IND- LIC HC SERV PRO) | [sources] | |||
Address | (MD), (MD) · P O BOX 2000, JOINT BASE MDL, NJ 08640 | [sources] | |||
Last change | Last processed | First seen |
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-ca896e50381d92bbdac758e0df482acdeb338e6c
· us-fed-excl-larry-j-jr-goisse-08640-joint-base-mdl
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
(MD), (MD) · - MD, - MD · MD, MD | United States of America |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |