Stipanuk, Gerald S

Stipanuk, Gerald S is an individual health care provider with primary practice located at 1007 Windover Rd # 6009 , Jonesboro AR 72401-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Stipanuk, Gerald S can be contacted via phone (870) 520-6473.

Contact Information

Primary practice address
1007 Windover Rd # 6009 Jonesboro AR 72401-6007
Phone: (870) 520-6473
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29939 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E-7145 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TPME2910 Florida

Profile Details

NPI number 1669459905
LBN Legal business name Stipanuk, Gerald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Apr 6th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669459905 NPPES
Tennessee Other 4217156 BCBS TN
Tennessee MEDICAID 1511734 BCBS TN
Tennessee Other 0000006613645 BCBS TN

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