Provider Demographics
NPI:1811031826
Name:ASKEW, JEFFREY JACK (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JACK
Last Name:ASKEW
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 1:301 E FRONT AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5601
Mailing Address - Country:US
Mailing Address - Phone:701-224-0422
Mailing Address - Fax:701-224-8205
Practice Address - Street 1:301 E FRONT AVE STE 107
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5601
Practice Address - Country:US
Practice Address - Phone:701-224-0422
Practice Address - Fax:701-224-8205
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND20246OtherBCBSND
ND014248Medicaid
ND014248Medicaid
NDN71094Medicare ID - Type UnspecifiedMEDICARE