1902934896 NPI number — DR. ANTHONY G RUMP D.C.

Table of content: DR. ANTHONY G RUMP D.C. (NPI 1902934896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902934896 NPI number — DR. ANTHONY G RUMP D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUMP
Provider First Name:
ANTHONY
Provider Middle Name:
G
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902934896
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1502 N PERRY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OTTAWA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45875-1167
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-523-4898
Provider Business Mailing Address Fax Number:
419-523-4979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1502 N PERRY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OTTAWA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45875-1167
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-523-4898
Provider Business Practice Location Address Fax Number:
419-523-4979
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1682 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 735005 . This is a "BUCKEYE COMMUNITY PROVIDE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2389599 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000136402 . This is a "ANTHEM BC-BS PROVIDER#" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 34-1668973-00 . This is a "BWC PROVIDER #" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0004616716 . This is a "AETNA PROVIDER#" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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