Provider Demographics
NPI:1225125073
Name:GUERIN MANAGEMENT SYSTEMS INC
Entity Type:Organization
Organization Name:GUERIN MANAGEMENT SYSTEMS INC
Other - Org Name:GUERIN CHIROPRACTIC S.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GUERIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-325-2626
Mailing Address - Street 1:1419 9TH STREET
Mailing Address - Street 2:PO BOX 258
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566-0258
Mailing Address - Country:US
Mailing Address - Phone:608-325-2626
Mailing Address - Fax:608-325-2504
Practice Address - Street 1:1419 9TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566-1423
Practice Address - Country:US
Practice Address - Phone:608-325-2626
Practice Address - Fax:608-325-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38792500Medicaid
WI000035555Medicare ID - Type Unspecified
T62079Medicare UPIN