Provider Demographics
NPI:1952474314
Name:RUM RIVER CHIROPRACTIC LTD
Entity Type:Organization
Organization Name:RUM RIVER CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:BIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:763-422-1525
Mailing Address - Street 1:14037 SAINT FRANCIS BLVD
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-4692
Mailing Address - Country:US
Mailing Address - Phone:763-422-1525
Mailing Address - Fax:
Practice Address - Street 1:14037 SAINT FRANCIS BLVD
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-4692
Practice Address - Country:US
Practice Address - Phone:763-422-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty