Provider Demographics
NPI:1235232877
Name:TRAPANI, STEPHEN P (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:P
Last Name:TRAPANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 E ISAACS AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2206
Mailing Address - Country:US
Mailing Address - Phone:509-529-4330
Mailing Address - Fax:509-525-2458
Practice Address - Street 1:1618 E ISAACS AVE
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2206
Practice Address - Country:US
Practice Address - Phone:509-529-4330
Practice Address - Fax:509-525-2458
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0172047OtherDEPARTMENT OF LABOR AND INDUSTRIES
WA2018653Medicaid
WA2018653Medicaid
WAGAB39428Medicare UPIN
GAB39427Medicare PIN