Provider Demographics
NPI:1073552725
Name:ASHBURN, ERIC C (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:C
Last Name:ASHBURN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 OLD ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2472
Mailing Address - Country:US
Mailing Address - Phone:845-896-1200
Mailing Address - Fax:845-896-3501
Practice Address - Street 1:209 OLD ROUTE 9
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2472
Practice Address - Country:US
Practice Address - Phone:845-896-1200
Practice Address - Fax:845-896-3501
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX3A951Medicare ID - Type Unspecified