Provider Demographics
NPI:1710026802
Name:ASKEROTH, TODD J (DC)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:J
Last Name:ASKEROTH
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:PO BOX 732
Mailing Address - Street 2:
Mailing Address - City:LOGANDALE
Mailing Address - State:NV
Mailing Address - Zip Code:89021-0732
Mailing Address - Country:US
Mailing Address - Phone:702-397-2822
Mailing Address - Fax:702-397-2705
Practice Address - Street 1:1170 MOAPA VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:OVERTON
Practice Address - State:NV
Practice Address - Zip Code:89040-1980
Practice Address - Country:US
Practice Address - Phone:702-397-2822
Practice Address - Fax:702-397-2705
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T41359Medicare UPIN
DC608Medicare ID - Type Unspecified