Healthcare Provider Details

I. General information

NPI: 1548454994
Provider Name (Legal Business Name): DR. E. B. ASHTON & ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

962 WAYNE AVE STE. L-A
SILVER SPRING MD
20910-4433
US

IV. Provider business mailing address

962 WAYNE AVE STE. L-A
SILVER SPRING MD
20910-4433
US

V. Phone/Fax

Practice location:
  • Phone: 301-587-9717
  • Fax: 301-587-9714
Mailing address:
  • Phone: 301-587-9717
  • Fax: 301-587-9714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberS01669
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberS01669
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberS01669
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberS01669
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU01318
License Number StateMD

VIII. Authorized Official

Name: DR. EDWARD B ASHTON
Title or Position: CEO/ CHIROPRACTOR
Credential: D.C., P.T., L-AC
Phone: 301-587-9717