Provider Demographics
NPI:1063239531
Name:CHOJNICKI, ASHTEN
Entity type:Individual
Prefix:
First Name:ASHTEN
Middle Name:
Last Name:CHOJNICKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 S SPICER DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67210-2703
Mailing Address - Country:US
Mailing Address - Phone:603-953-3815
Mailing Address - Fax:
Practice Address - Street 1:2917 S SPICER DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67210-2703
Practice Address - Country:US
Practice Address - Phone:603-953-3815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist