Provider Demographics
NPI:1518721158
Name:DR BRYAN GUESS LLC
Entity Type:Organization
Organization Name:DR BRYAN GUESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-945-5821
Mailing Address - Street 1:2441 STATE ST STE 10
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-4962
Mailing Address - Country:US
Mailing Address - Phone:812-945-4500
Mailing Address - Fax:812-945-4808
Practice Address - Street 1:2441 STATE ST STE 10
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-4962
Practice Address - Country:US
Practice Address - Phone:812-945-4500
Practice Address - Fax:812-945-4808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty