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GLENN F. GUMAER DC LLC NPI 1679962054


NPI Information

NPI: 1679962054
Provider Name: GLENN F. GUMAER, DC, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3190 STATE ST
STE 101
MEDFORD, OR
ZIP 97504
Phone: (541) 770-1330
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GLENN F. GUMAER, DC, LLC is a chiropractor in Medford, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GLENN F. GUMAER, DC, LLC NPI is 1679962054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3190 STATE ST
STE 101
MEDFORD, OR
ZIP 97504-497
Phone: (541) 770-1330
Fax: (541) 772-4228

The provider's authorized official is Glenn F. Gumaer .
The authorized official title is Owner and has the following contact phone number (541) 770-1330.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 1/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2941OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U29961MEDICARE UPINOREGON
2R0000QGHFQMEDICARE PINOREGON
3226598MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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