Provider Demographics
NPI:1831174721
Name:RASMUSSON, JAMES M (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:RASMUSSON
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 1:23539 NEON LN
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-6391
Mailing Address - Country:US
Mailing Address - Phone:608-647-6000
Mailing Address - Fax:608-647-4134
Practice Address - Street 1:23539 NEON LN
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-6391
Practice Address - Country:US
Practice Address - Phone:608-647-6000
Practice Address - Fax:608-647-4134
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38862700Medicaid
U23699Medicare UPIN
WI70460Medicare ID - Type Unspecified