Provider Demographics
NPI:1477977908
Name:EMEL, ASHLEY (DC)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:EMEL
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 1:2516 FORUM BLVD
Mailing Address - Street 2:102
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5405
Mailing Address - Country:US
Mailing Address - Phone:573-445-4444
Mailing Address - Fax:
Practice Address - Street 1:2516 FORUM BLVD
Practice Address - Street 2:102
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5405
Practice Address - Country:US
Practice Address - Phone:573-445-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013043341111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOI05202015001076OtherENROLLMENT ID