Provider Demographics
NPI:1932123775
Name:GUMM, DONALD (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:GUMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 E YOSEMITE AVE
Mailing Address - Street 2:SUITE B1
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8040
Mailing Address - Country:US
Mailing Address - Phone:209-384-7599
Mailing Address - Fax:
Practice Address - Street 1:755 E YOSEMITE AVE
Practice Address - Street 2:SUITE B1
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8040
Practice Address - Country:US
Practice Address - Phone:209-384-7599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor