MEDICARE: DR. JOHN T. GUMP 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	DC001148L	PA

General Provider Information

NPI Number	:	1477546596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN T. GUMP DC

Provider Business Mailing Address
First Line	:	1012 8TH AVE
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-4506
Country	:	US
Telephone Number	:	724-846-7489
Fax Number	:	724-846-9166

Provider Business Practice Location Address
First Line	:	1012 8TH AVE
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-4506
Country	:	US
Telephone Number	:	724-846-7489
Fax Number	:	724-846-9166

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. JOHN T. GUMP DC” Practice Location

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