MEDICARE: ASHLEY M COHOON 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
1	111N00000X	Chiropractor	2301010283	MI

General Provider Information

NPI Number	:	1164811840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY M COHOON D.C

Provider Business Mailing Address
First Line	:	1995 CEDAR ST STE 3
Second Line	:
City	:	HOLT
State	:	MI
Zip	:	48842-6630
Country	:	US
Telephone Number	:	517-699-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1995 CEDAR ST STE 3
Second Line	:
City	:	HOLT
State	:	MI
Zip	:	48842-6630
Country	:	US
Telephone Number	:	517-699-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2015
Last Update Date	:	05/19/2021

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Directions to “ ASHLEY M COHOON D.C” Practice Location

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