Provider Demographics
NPI:1386857233
Name:RODRIGUEZ, ASHER A (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHER
Middle Name:A
Last Name:RODRIGUEZ
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 1:12943 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:HYDES
Mailing Address - State:MD
Mailing Address - Zip Code:21082-9503
Mailing Address - Country:US
Mailing Address - Phone:410-256-6717
Mailing Address - Fax:410-256-1606
Practice Address - Street 1:108 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3845
Practice Address - Country:US
Practice Address - Phone:410-256-6717
Practice Address - Fax:410-256-1606
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01655111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM120Medicare PIN