James Merle Gullekson, LMT is a
Massage Therapist based in Fargo, North Dakota. James Merle Gullekson is licensed to practice in North Dakota (license number 22146) and his current practice location is
4501 15th Ave S Ste 104, Fargo, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 446-8833.
NPI number for James Merle Gullekson is 1013603174 and his current mailing address is 4501 15th Ave S Ste 104, Fargo, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013603174.
Provider's Profile
Full Name | James Merle Gullekson |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 4501 15th Ave S Ste 104, Fargo, North Dakota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013603174
- Provider Enumeration Date: 04/12/2023
- Last Update Date: 04/12/2023
Medical Identifiers
Medical identifiers for James Merle Gullekson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013603174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R31784 (North Dakota) | Secondary |
163W00000X | Registered Nurse | 2014874 (Minnesota) | Secondary |
225700000X | Massage Therapist | 22146 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Merle Gullekson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
James Merle Gullekson, LMT 4501 15th Ave S Ste 104, Fargo, ND 58103-8956 Ph: (701) 446-8833 | James Merle Gullekson, LMT 4501 15th Ave S Ste 104, Fargo, ND 58103-8956 Ph: (701) 446-8833 |
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