Stumbaugh, Jesse Roy
Stumbaugh, Jesse Roy is an individual health care provider with primary practice located at 1300 Sunset Drive , Norwalk IA 50211. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stumbaugh, Jesse Roy can be contacted via phone (515) 981-9208.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06776 | Iowa |
Profile Details
| NPI number | 1154359222 |
|---|---|
| LBN Legal business name | Stumbaugh, Jesse Roy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Sep 29th, 2022 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154359222 | NPPES |
| Iowa | Other | 14854 | WELLMARK BCBS |
| Iowa | MEDICAID | 2453928 | WELLMARK BCBS |
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