Healthcare Provider Details

I. General information

NPI: 1518994417
Provider Name (Legal Business Name): JAMES D MUSSLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11800 E WASHINGTON ST
BURTON OH
44021-9701
US

IV. Provider business mailing address

11800 E WASHINGTON ST
BURTON OH
44021-9701
US

V. Phone/Fax

Practice location:
  • Phone: 440-543-2097
  • Fax: 440-543-6897
Mailing address:
  • Phone: 440-543-2097
  • Fax: 440-543-6897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3612
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: