Provider Demographics
NPI:1053601187
Name:SCHIFF, STEPHANIE ELLEN (DC,DCN,FACACN,LLC)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:ELLEN
Last Name:SCHIFF
Suffix:
Gender:F
Credentials:DC,DCN,FACACN,LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLIAMS LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1816
Mailing Address - Country:US
Mailing Address - Phone:203-304-7019
Mailing Address - Fax:
Practice Address - Street 1:27 GLEN RD
Practice Address - Street 2:SUITE 444
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1193
Practice Address - Country:US
Practice Address - Phone:203-451-4520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001855111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition