Healthcare Provider Details

I. General information

NPI: 1407577331
Provider Name (Legal Business Name): BUMP HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 S RIDGEWOOD AVE STE 208&209
SOUTH DAYTONA FL
32119-8427
US

IV. Provider business mailing address

7719 N PIONEER LN
PEORIA IL
61615-1910
US

V. Phone/Fax

Practice location:
  • Phone: 888-913-7879
  • Fax:
Mailing address:
  • Phone: 888-913-7879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE DEEHRING
Title or Position: CEO
Credential:
Phone: 888-913-7879