Provider Demographics
NPI:1831323252
Name:TODD J. ASKEROTH CHIROPRACTIC, LTD
Entity Type:Organization
Organization Name:TODD J. ASKEROTH CHIROPRACTIC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/REGISTERED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ASKEROTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:702-397-2822
Mailing Address - Street 1:PO BOX 732
Mailing Address - Street 2:1170 N. MOAPA VALLEY BLVD
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 N. 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVDC608Medicare PIN