Provider Demographics
NPI:1184693491
Name:GUENTHER, ROBERT R (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:GUENTHER
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 1:806 HIGHWAY 90
Mailing Address - Street 2:
Mailing Address - City:BAY ST. LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520
Mailing Address - Country:US
Mailing Address - Phone:228-466-2900
Mailing Address - Fax:228-466-2999
Practice Address - Street 1:806 HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:BAY ST. LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520
Practice Address - Country:US
Practice Address - Phone:228-466-2900
Practice Address - Fax:228-466-2999
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5H509Medicare ID - Type Unspecified