DR. STEPHAN PAUL EDISS (NPI# 1669521324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669521324 |
| Entity Type | Individual |
| Full Name | DR. STEPHAN PAUL EDISS |
| Credential | D.C. |
| Practice Address |
1330 E. Richards Douglas WY 82633 |
| Mailing Address |
Po Box 902 1330 E. Richards Douglas WY 82633-0902 |
| Practice Telephone | 3073583147 |
| Practice Fax Number | 3073583213 |
| Mailing Telephone | 3073583147 |
| Mailing Fax Number | 3073583213 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 574 | WY | Chiropractic Providers |
| Street Address |
1330 E. RICHARDS |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| 1235611468 | Jessica Renee Snyder | Social Worker | 1841 Madora Ave, Douglas, WY 82633 | 2018-09-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187403 | Coffee Chiropractic LLC | Chiropractor | 1214 Peterson Ave N Ste P, Douglas, GA 31533-2835 | 2019-07-25 |
| 1851944607 | Brian Keith Waters | Chiropractor | 403 Ward St W, Douglas, GA 31533-3505 | 2019-07-22 |
| 1417249343 | Joshua Brett Mizell | Chiropractor | 506 Ashley St W, Douglas, GA 31533-2308 | 2011-05-11 |
| 1730485509 | Henry Randall Sheffield | Chiropractor | 410 Ward St E, Douglas, GA 31533-0001 | 2011-01-26 |
| 1477736015 | Ediss Chiropractic, Inc | Chiropractor | 1330 E Richards St, Douglas, WY 82633-2951 | 2007-12-05 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| 1770612079 | Robert D Keeler | Chiropractor | 1843 Madora Ave, Douglas, WY 82633-3059 | 2007-03-04 |
| 1720139363 | Larry Hutchison | Chiropractor | 1103 Madison Ave N, Douglas, GA 31533-2803 | 2007-01-12 |
| 1699843417 | Brent E Miller | Chiropractor | 410 E Ward St, Douglas, GA 31533 | 2006-12-01 |
| 1568402055 | Douglas Chiropractic | Chiropractor | 105 Shirley Ave, Douglas, GA 31533-2325 | 2006-06-07 |
| Find all providers in DOUGLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.