Provider Demographics
NPI:1104940881
Name:SCHAPPELL, EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:
Last Name:SCHAPPELL
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 1:3301 SCHOOLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4726
Mailing Address - Country:US
Mailing Address - Phone:717-652-5050
Mailing Address - Fax:717-652-7473
Practice Address - Street 1:3301 SCHOOLHOUSE LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-4726
Practice Address - Country:US
Practice Address - Phone:717-652-5050
Practice Address - Fax:717-652-7473
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006413-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0717043Medicare ID - Type Unspecified