Provider Demographics
NPI:1578661179
Name:GUSE, JAMES M (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:GUSE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 S BROADWAY ST
Mailing Address - Street 2:P.O. BOX 863
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3453
Mailing Address - Country:US
Mailing Address - Phone:507-359-7622
Mailing Address - Fax:507-354-7736
Practice Address - Street 1:1316 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3453
Practice Address - Country:US
Practice Address - Phone:507-359-7622
Practice Address - Fax:507-354-7736
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0300OtherHEALTH SERVICES MANAGEMEN
MN231214OtherCHIRO CARE
MN43123GUOtherBCBSM ID
MNT65561Medicare UPIN