Provider Demographics
NPI:1962937631
Name:LINCOLN, ASHLEN (DC)
Entity type:Individual
Prefix:
First Name:ASHLEN
Middle Name:
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 SPRINGCREST DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-7306
Mailing Address - Country:US
Mailing Address - Phone:803-547-5656
Mailing Address - Fax:
Practice Address - Street 1:202 SPRINGCREST DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-7306
Practice Address - Country:US
Practice Address - Phone:803-547-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC.4228DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor