Provider Demographics
NPI:1952478554
Name:RUMRILL, DANIEL M (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:M
Last Name:RUMRILL
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:PO BOX 453
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:12117-0453
Mailing Address - Country:US
Mailing Address - Phone:518-661-7781
Mailing Address - Fax:
Practice Address - Street 1:2424 STATE HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:NY
Practice Address - Zip Code:12117-4000
Practice Address - Country:US
Practice Address - Phone:518-661-7781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55920BMedicare ID - Type Unspecified