Provider Demographics
NPI:1477842821
Name:AHASIC, STEPHANIE (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:AHASIC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13020 LIVINGSTON RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5021
Mailing Address - Country:US
Mailing Address - Phone:239-263-3330
Mailing Address - Fax:
Practice Address - Street 1:13020 LIVINGSTON RD
Practice Address - Street 2:SUITE 14
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-5021
Practice Address - Country:US
Practice Address - Phone:239-263-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor