Provider Demographics
NPI:1346267044
Name:ASHENFARB, STEVEN MARC (DC, MPT)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MARC
Last Name:ASHENFARB
Suffix:
Gender:M
Credentials:DC, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 BEDLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7012
Mailing Address - Country:US
Mailing Address - Phone:646-271-8719
Mailing Address - Fax:212-520-0128
Practice Address - Street 1:1308 BEDLINGTON DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7012
Practice Address - Country:US
Practice Address - Phone:646-271-8719
Practice Address - Fax:212-520-0128
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3395111N00000X
NC10026225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist