1982600524 NPI number — DR. JAMES ROBERT GUTFLEISCH O.D.

Table of content: DR. JAMES ROBERT GUTFLEISCH O.D. (NPI 1982600524)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982600524 NPI number — DR. JAMES ROBERT GUTFLEISCH O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUTFLEISCH
Provider First Name:
JAMES
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982600524
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
710 DIVISION ST S
Provider Second Line Business Mailing Address:
STE A
Provider Business Mailing Address City Name:
NORTHFIELD
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55057-2468
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-645-2261
Provider Business Mailing Address Fax Number:
507-786-9703

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
710 DIVISION ST-SOUTH
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
NORTHFIELD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55057-2468
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-645-2261
Provider Business Practice Location Address Fax Number:
507-786-9703
Provider Enumeration Date:
06/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  LD1848000 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 152WC0802X , with the licence number: LD1848000 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 177K2GU . This is a "BLUE CROSS BLUE SHIELD MN" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 526004 . This is a "AMERICA'S PPO" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 106257 . This is a "U CARE, MN" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 6463231-00 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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