Provider Demographics
NPI:1902808728
Name:GUESS, CHAD E (DC)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:E
Last Name:GUESS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1323
Mailing Address - Country:US
Mailing Address - Phone:740-622-3553
Mailing Address - Fax:740-622-5270
Practice Address - Street 1:1101 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1323
Practice Address - Country:US
Practice Address - Phone:740-622-3553
Practice Address - Fax:740-622-5270
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2009150Medicaid
OH2009150Medicaid
OHU66955Medicare UPIN