Edward H Stonebraker (NPI# 1710029806, PAC ID# 8527225267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1710029806 |
| PAC ID by PECOS | 8527225267 |
| Professional Enrollment ID | I20120207000680 |
| Full Name | Edward H Stonebraker |
| Address |
Stonebraker Family Chiropractic 562 Main Street Derby VT 05829 |
| Phone Number | 8027665065 |
| Gender | M |
| Medical School | NEW YORK CHIROPRACTIC COLLEGE |
| Graduation Year | 1996 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| Stonebraker Family Chiropractic, 562 Main Street, Derby, VT 05829 | 8027665065 |
| Street Address |
STONEBRAKER FAMILY CHIROPRACTIC 562 MAIN STREET |
| City | DERBY |
| State | VT |
| Zip | 05829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly R Hensley | Nurse Practitioner | Northeast Kingdom Human Services Inc | 181 Crawford Rd, Derby, VT 05829 |
| Anne C Lynch | Clinical Social Worker | Northeast Kingdom Human Services Inc | 181 Crawford Rd, Derby, VT 05829 |
| City | DERBY |
| Zip Code | 05829 |
| Specialty | CHIROPRACTIC |
| City + Specialty | DERBY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Edward H Stonebraker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.