Provider Demographics
NPI:1881723039
Name:AUSMUS, JAMES CASPER III (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CASPER
Last Name:AUSMUS
Suffix:III
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 1:6826 US HIGHWAY 25 E
Mailing Address - Street 2:
Mailing Address - City:MIDDLESBORO
Mailing Address - State:KY
Mailing Address - Zip Code:40965-8718
Mailing Address - Country:US
Mailing Address - Phone:606-248-6633
Mailing Address - Fax:
Practice Address - Street 1:6826 US HIGHWAY 25 E
Practice Address - Street 2:
Practice Address - City:MIDDLESBORO
Practice Address - State:KY
Practice Address - Zip Code:40965-8718
Practice Address - Country:US
Practice Address - Phone:606-248-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85002582Medicaid