Individual
DR. STEPHEN GARY GUMPENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1015 S COURT ST, SUITE A, CIRCLEVILLE, OH 43113-2143
(740) 474-2921
(740) 474-4941
Mailing address
114 SCIOTO LANDING BLVD, S BLOOMFIELD, OH 43103-9332
(740) 983-1936
(740) 474-4941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3313
OH
Other
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
Enumeration date
04/10/2006
Last updated
10/31/2007
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