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Contact Information

JAMES M GULLEKSON, LMT
4501 15TH AVE S STE 104
FARGO, ND58103-8956
 Phone: 701-446-8833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JAMES M GULLEKSON · (Male)

NPI # 1013603174
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 04/12/2023
Last updated 04/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 2014874
  • ND License # 22146
  • ND License # R31784
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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