Healthcare Provider Details

I. General information

NPI: 1659657542
Provider Name (Legal Business Name): ASHA S FIELDS BREWER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 PACIFIC AVE
LIVERMORE CA
94550-7007
US

IV. Provider business mailing address

3601 WESTMORELAND DR
TALLAHASSEE FL
32303-2027
US

V. Phone/Fax

Practice location:
  • Phone: 925-462-1755
  • Fax:
Mailing address:
  • Phone: 850-562-6810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number11916
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH10731
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: