Provider Demographics
NPI:1043459746
Name:ASHLAND CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:ASHLAND CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SINES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-657-8300
Mailing Address - Street 1:305 E BROADWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:ASHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65010-9306
Mailing Address - Country:US
Mailing Address - Phone:573-657-8300
Mailing Address - Fax:
Practice Address - Street 1:305 E BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:ASHLAND
Practice Address - State:MO
Practice Address - Zip Code:65010-9306
Practice Address - Country:US
Practice Address - Phone:573-657-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty