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NPI Code Detail

MEDICARE: GREGORY SCOTT ASH D.C.

MEDICARE:   GREGORY SCOTT ASH  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation Chiropractor1809MN

Other Identifiers

General Provider Information

NPI Number : 1275614463
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY SCOTT ASH D.C.
Provider Business Mailing Address
First Line : 1510 TRIGGS AVE
Second Line :
City : DULUTH
State : MN
Zip : 55811-2742
Country : US
Telephone Number : 218-728-1049
Fax Number :
Provider Business Practice Location Address
First Line : 1118 E SUPERIOR ST
Second Line : FISHER CHIROPRACTIC CLINIC
City : DULUTH
State : MN
Zip : 55802-2217
Country : US
Telephone Number : 218-728-3639
Fax Number : 218-728-2603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 02/16/2011

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