Individual provider · Type 1 NPI
Stephan Paul Ediss, DC
Chiropractor · Douglas, WY
NPI number
1669521324
Active
Practice location
1330 E. Richards
Douglas, WY 82633
Fax (307) 358-3213
Mailing address
PO Box 902, 1330 E. Richards
Douglas, WY 82633-0902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 574 (WY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Other chiropractor providers in Douglas
About NPI 1669521324
Stephan Paul Ediss, DC's National Provider Identifier is 1669521324, issued on Jan 10, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Douglas, WY. The record was last updated on Jan 20, 2021.