Individual
DR. EDWARD ALLEN KLUMPP SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E21067
BCBSM PERSONAL PROVIDER #
MI
01
—
950E210670
BCBSM PROVIDER NUMBER
MI
01
—
DP2446
RAILROAD MEDICARE PTAN
MI
01
—
MI1807001
MEDICARE PTAN
MI
01
—
P00305960
RAILROAD MEDICARE PIN NUM
—
Enumeration date
07/21/2006
Last updated
09/05/2012
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