Provider Demographics
NPI:1548454994
Name:DR. E. B. ASHTON & ASSOCIATES, PA
Entity type:Organization
Organization Name:DR. E. B. ASHTON & ASSOCIATES, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PT, L-AC
Authorized Official - Phone:301-587-9717
Mailing Address - Street 1:962 WAYNE AVE
Mailing Address - Street 2:STE. L-A
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4433
Mailing Address - Country:US
Mailing Address - Phone:301-587-9717
Mailing Address - Fax:301-587-9714
Practice Address - Street 1:962 WAYNE AVE
Practice Address - Street 2:STE. L-A
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4433
Practice Address - Country:US
Practice Address - Phone:301-587-9717
Practice Address - Fax:301-587-9714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01669111NR0400X, 111NS0005X, 111NX0800X, 111N00000X
MDU01318171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
788819Medicare UPIN