MEDICARE: DR. AMY L RUMBAUGH-DURR D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	714	LA

General Provider Information

NPI Number	:	1861410680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY L RUMBAUGH-DURR D.C.

Provider Business Mailing Address
First Line	:	8908 RIVER RD
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-2244
Country	:	US
Telephone Number	:	337-893-1919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 SOUTH DR
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4044
Country	:	US
Telephone Number	:	337-893-4353
Fax Number	:	337-893-4366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	07/08/2007

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