Provider Demographics
NPI:1780817114
Name:ANTHONY RUMP DC LLC
Entity Type:Organization
Organization Name:ANTHONY RUMP DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:G
Authorized Official - Last Name:RUMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-523-4898
Mailing Address - Street 1:1502 N PERRY ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-1167
Mailing Address - Country:US
Mailing Address - Phone:419-523-4898
Mailing Address - Fax:888-230-4551
Practice Address - Street 1:1502 N PERRY ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:OH
Practice Address - Zip Code:45875-1167
Practice Address - Country:US
Practice Address - Phone:419-523-4898
Practice Address - Fax:888-230-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2389599Medicaid
OH2389599Medicaid
OHRU-0687471Medicare PIN