Provider Demographics
NPI:1235646522
Name:CASKEY, ASHTON JAMEL (DC)
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:JAMEL
Last Name:CASKEY
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 1:819 STRAITS TPKE
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-2847
Mailing Address - Country:US
Mailing Address - Phone:203-758-1765
Mailing Address - Fax:203-577-2116
Practice Address - Street 1:819 STRAITS TPKE
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-2847
Practice Address - Country:US
Practice Address - Phone:203-758-1765
Practice Address - Fax:203-577-2116
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor