Provider Demographics
NPI:1053546580
Name:KLUMPP FAMILY CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:KLUMPP FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KLUMPP
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:906-228-9800
Mailing Address - Street 1:310 W WASHINGTON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4334
Mailing Address - Country:US
Mailing Address - Phone:906-228-9800
Mailing Address - Fax:906-228-9801
Practice Address - Street 1:310 W WASHINGTON ST
Practice Address - Street 2:STE 300
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4334
Practice Address - Country:US
Practice Address - Phone:906-228-9800
Practice Address - Fax:906-228-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty