James Merle Gullekson, LMT in Fargo, ND - Massage Therapist

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.

Contact Information

	James Merle Gullekson, LMT
	4501 15th Ave S Ste 104, Fargo, ND 58103-8956
	(701) 446-8833
	Not Available

Provider's Profile

Full Name	James Merle Gullekson
Gender	Male
Speciality	Massage Therapist
Location	4501 15th Ave S Ste 104, Fargo, North Dakota
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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James Merle Gullekson, LMT - Massage Therapist in Fargo, ND