# DR. STEPHEN GARY GUMPENBERGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568425775
- **Gender:** Man
- **Credential:** D.C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3313 | OH | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 10/31/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000384125 | ANTHEM CIRCLEVILLE | OH |
| 01 | — | 000000385990 | ANTHEM WILMINGTON | OH |
| 01 | — | 030554726027 | CARESOURCE | OH |
| 05 | — | 2347151 | — | OH |
| 01 | — | 7871398 | AETNA | OH |
| 01 | — | DD214 | RAILROAD MCR | OH |