Individual
DR. SHAWN L. RUMBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2712 E MAGNOLIA AVE, KNOXVILLE, TN 37914-5246
(865) 522-8348
(865) 522-8348
Mailing address
2712 E MAGNOLIA AVE, KNOXVILLE, TN 37914-5246
(865) 522-8348
(865) 522-8348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC641
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00954573
TENNCARE
TN
01
—
T81688
UPIN
TN
Enumeration date
09/21/2006
Last updated
12/12/2007
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