MEDICARE: RUM RIVER CHIROPRACTIC LTD

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	02311	MN

General Provider Information

NPI Number	:	1952474314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUM RIVER CHIROPRACTIC LTD

Provider Business Mailing Address
First Line	:	14037 SAINT FRANCIS BLVD
Second Line	:
City	:	RAMSEY
State	:	MN
Zip	:	55303-4692
Country	:	US
Telephone Number	:	763-422-1525
Fax Number	:

Provider Business Practice Location Address
First Line	:	14037 SAINT FRANCIS BLVD
Second Line	:
City	:	RAMSEY
State	:	MN
Zip	:	55303-4692
Country	:	US
Telephone Number	:	763-422-1525
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	DR. DEANNA FAY BIGLER
Credential	:	DC
Telephone Number	:	763-422-1525

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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