Provider Demographics
NPI:1720143795
Name:ASHDEN, RICHARD NEIL (DC, EDD, QME)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NEIL
Last Name:ASHDEN
Suffix:
Gender:M
Credentials:DC, EDD, QME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 W OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3247
Mailing Address - Country:US
Mailing Address - Phone:559-781-7100
Mailing Address - Fax:559-784-3136
Practice Address - Street 1:688 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3247
Practice Address - Country:US
Practice Address - Phone:559-781-7100
Practice Address - Fax:559-784-3136
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22509111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0225090Medicare ID - Type Unspecified