Provider Demographics
NPI:1649558834
Name:RUMLEY, ELIZABETH ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:RUMLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 RIVER ST
Mailing Address - Street 2:UNIT 14
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3381
Mailing Address - Country:US
Mailing Address - Phone:203-713-8600
Mailing Address - Fax:203-713-8601
Practice Address - Street 1:58 RIVER ST
Practice Address - Street 2:UNIT 14
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3381
Practice Address - Country:US
Practice Address - Phone:203-713-8600
Practice Address - Fax:203-713-8601
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001885111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor