MEDICARE: RYAN C RUMBAUGH 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	DC010836	PA

General Provider Information

NPI Number	:	1306268875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN C RUMBAUGH DC

Provider Business Mailing Address
First Line	:	3909 WASHINGTON RD. SUITE 203
Second Line	:
City	:	MCMURRAY
State	:	PA
Zip	:	15317
Country	:	US
Telephone Number	:	724-969-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3909 WASHINGTON RD STE 203
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2544
Country	:	US
Telephone Number	:	724-969-0800
Fax Number	:

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

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	01/17/2014

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