Guasco, Jesse M
Guasco, Jesse M is an individual health care provider with primary practice located at 909 Fee Rd , East Lansing MI 48824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Guasco, Jesse M can be contacted via phone (551) 735-3307.Contact Information
Primary practice address
909 Fee Rd
East Lansing MI 48824
Phone: (551) 735-3307
Fax: (517) 432-3603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 5101020051 | Michigan |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101020051 | Michigan |
Profile Details
| NPI number | 1548521594 |
|---|---|
| LBN Legal business name | Guasco, Jesse M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Jul 31st, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548521594 | NPPES |
| Michigan | MEDICAID | 1548521594 |
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