Provider Demographics
NPI:1104931187
Name:RUMSEY, MATTHEW D (AU D)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:D
Last Name:RUMSEY
Suffix:
Gender:M
Credentials:AU D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 SUMMIT ST STE 2800
Mailing Address - Street 2:
Mailing Address - City:YANKTON
Mailing Address - State:SD
Mailing Address - Zip Code:57078-3735
Mailing Address - Country:US
Mailing Address - Phone:605-665-6820
Mailing Address - Fax:605-665-6821
Practice Address - Street 1:409 SUMMIT ST STE 2800
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3735
Practice Address - Country:US
Practice Address - Phone:605-665-6820
Practice Address - Fax:605-665-6821
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD322-A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5838070Medicaid
SD5838072Medicaid
SDS103267Medicare PIN
SDS104129Medicare PIN