Provider Demographics
NPI:1477752145
Name:EDLING, STEVEN JOHN (DC, CSSP)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JOHN
Last Name:EDLING
Suffix:
Gender:M
Credentials:DC, CSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 697
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:WI
Mailing Address - Zip Code:54020-0697
Mailing Address - Country:US
Mailing Address - Phone:715-294-3100
Mailing Address - Fax:715-755-2929
Practice Address - Street 1:108 CHIEFTAIN ST.
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:WI
Practice Address - Zip Code:54020-0697
Practice Address - Country:US
Practice Address - Phone:715-294-3100
Practice Address - Fax:866-255-0669
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2427111N00000X
WI2242-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor