MEDICARE: DR. PAUL A RUMPH DC

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	PR002727	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	PR002727	OTHER	COMMERCIAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	950F318420	OTHER	BCBSM

General Provider Information

NPI Number	:	1073584488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL A RUMPH DC

Provider Business Mailing Address
First Line	:	5732 WILLIAMS LAKE RD
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48329-3274
Country	:	US
Telephone Number	:	248-673-1215
Fax Number	:	248-673-7027

Provider Business Practice Location Address
First Line	:	5732 WILLIAMS LAKE RD
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48329-3274
Country	:	US
Telephone Number	:	248-673-1215
Fax Number	:	248-673-7027

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	09/14/2013

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Directions to “ DR. PAUL A RUMPH DC” Practice Location

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