Provider Demographics
NPI:1437128709
Name:WIPER, ASHLEY YVES (LIC AC, DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:ASHLEY
Middle Name:YVES
Last Name:WIPER
Suffix:
Gender:M
Credentials:LIC AC, DIPL AC
Other - Prefix:MR
Other - First Name:ASHLEY
Other - Middle Name:YVES
Other - Last Name:WIPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LIC AC
Mailing Address - Street 1:204 MILLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3112
Mailing Address - Country:US
Mailing Address - Phone:302-994-6838
Mailing Address - Fax:
Practice Address - Street 1:204 MILLTOWN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3112
Practice Address - Country:US
Practice Address - Phone:302-994-6838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000493171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist