Provider Demographics
NPI:1821723404
Name:RACHEL BRUMBERGER, LLC
Entity Type:Organization
Organization Name:RACHEL BRUMBERGER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUMBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:301-706-3884
Mailing Address - Street 1:3430 WINMOOR DR
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9545
Mailing Address - Country:US
Mailing Address - Phone:301-706-3884
Mailing Address - Fax:
Practice Address - Street 1:6900 WISCONSIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20815-6129
Practice Address - Country:US
Practice Address - Phone:301-244-8652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty