Provider Demographics
NPI:1386971281
Name:ASHMAN CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ASHMAN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OPERATOR, PRESIDENT, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:ASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-225-0111
Mailing Address - Street 1:230 S 68TH ST STE 1208
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8176
Mailing Address - Country:US
Mailing Address - Phone:515-225-0111
Mailing Address - Fax:515-225-0444
Practice Address - Street 1:230 S 68TH ST STE 1208
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8176
Practice Address - Country:US
Practice Address - Phone:515-225-0111
Practice Address - Fax:515-225-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty