Provider Demographics
NPI:1821895756
Name:KUSS COMPANY LLC
Entity type:Organization
Organization Name:KUSS COMPANY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-309-2403
Mailing Address - Street 1:3904 WHITE BEAR AVE N
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-4359
Mailing Address - Country:US
Mailing Address - Phone:320-309-2403
Mailing Address - Fax:
Practice Address - Street 1:440 BUNKER LAKE BLVD NW STE 105
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1053
Practice Address - Country:US
Practice Address - Phone:763-330-0393
Practice Address - Fax:763-316-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty