Provider Demographics
NPI:1699019166
Name:GUZIK, INC.
Entity Type:Organization
Organization Name:GUZIK, INC.
Other - Org Name:GUZIK CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:GUZIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-876-6847
Mailing Address - Street 1:PO BOX 605
Mailing Address - Street 2:
Mailing Address - City:ELLETTSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47429-0605
Mailing Address - Country:US
Mailing Address - Phone:812-876-6847
Mailing Address - Fax:812-876-8135
Practice Address - Street 1:403 W TEMPERANCE ST
Practice Address - Street 2:
Practice Address - City:ELLETTSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47429-1431
Practice Address - Country:US
Practice Address - Phone:812-876-6847
Practice Address - Fax:812-876-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN184510Medicare PIN