Provider Demographics
NPI:1255466777
Name:CASPERS, GUY MITCHELL (DC)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:MITCHELL
Last Name:CASPERS
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 1:103 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-1650
Mailing Address - Country:US
Mailing Address - Phone:320-587-2292
Mailing Address - Fax:320-587-7588
Practice Address - Street 1:103 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1650
Practice Address - Country:US
Practice Address - Phone:320-587-2292
Practice Address - Fax:320-587-7588
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3563111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN53F32CAOtherMN-BCBS
MN53F33CAOtherBCBS PROVIDER
MNU67124Medicare UPIN