Individual
DR. JACOB C STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
69500 COUNTY ROAD 3 # 2, NAPPANEE, IN 46550-9010
(574) 849-1360
Mailing address
69500 COUNTY ROAD 3, NAPPANEE, IN 46550-9010
(574) 849-1360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003492A
IN
2255A2300X
Athletic Trainer
3580222201
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3580222201
22 RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE SERVICES PROVIDER
IN
Enumeration date
02/28/2019
Last updated
01/15/2025
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