# DR. JESSE ROY STUMBAUGH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154359222
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 06776 | IA | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 09/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14854 | WELLMARK BCBS | IA |
| 05 | — | 2453928 | — | IA |