Provider Demographics
NPI:1962484667
Name:ACTON, DONALD RAY (DC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:RAY
Last Name:ACTON
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 1:789 PATTON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3640
Mailing Address - Country:US
Mailing Address - Phone:828-258-0264
Mailing Address - Fax:828-254-9202
Practice Address - Street 1:789 PATTON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3640
Practice Address - Country:US
Practice Address - Phone:828-258-0264
Practice Address - Fax:828-254-9202
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1063111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC012YYOtherSTATE
08210OtherBLUE CROSS
NC8908210Medicaid
T64328Medicare UPIN
NC8908210Medicaid