Provider Demographics
NPI:1902861925
Name:STEPP, MICHELLE RENEE (DC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:RENEE
Last Name:STEPP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 ROUTE 40
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15333-2111
Mailing Address - Country:US
Mailing Address - Phone:724-632-5959
Mailing Address - Fax:724-632-5919
Practice Address - Street 1:3317 ROUTE 40
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:PA
Practice Address - Zip Code:15333-2111
Practice Address - Country:US
Practice Address - Phone:724-632-5959
Practice Address - Fax:724-632-5919
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007417L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAST025047Medicare ID - Type Unspecified
U74272Medicare UPIN