Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stephan Paul Ediss, DC

Individual provider Chiropractor · NPI 1669521324

Dr. Stephan Paul Ediss, DC is a Chiropractic in Douglas, Wyoming. Graduated from Los Angeles College of Chiropractic in 1992, 34 years ago. Licensed in Wyoming.

Years since qualifying
34
Trained at
Los Angeles College of Chiropractic
Licensed in
WY
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1330 E Richards
Douglas, WY 82633
Phone: (307) 358-3147
Fax: (307) 358-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 574 (WY)

Record details

NPI number1669521324
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing addressPo Box 902, 1330 E. Richards, Douglas, WY 82633-0902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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