Provider Demographics
NPI:1780701078
Name:STEGMAN, EDWAED J (DC)
Entity type:Individual
Prefix:DR
First Name:EDWAED
Middle Name:J
Last Name:STEGMAN
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 1:715 DORSEYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1124
Mailing Address - Country:US
Mailing Address - Phone:412-963-1144
Mailing Address - Fax:
Practice Address - Street 1:715 DORSEYVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1124
Practice Address - Country:US
Practice Address - Phone:412-963-1144
Practice Address - Fax:412-963-8501
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001826L111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA403379Medicare ID - Type Unspecified