MEDICARE: DR. E. B. ASHTON & ASSOCIATES, PA

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	111NR0400X	Rehabilitation Chiropractor	S01669	MD
2	111NS0005X	Sports Physician Chiropractor	S01669	MD
3	111NX0800X	Orthopedic Chiropractor	S01669	MD
4	171100000X	Acupuncturist	U01318	MD
5	111N00000X	Chiropractor	S01669	MD

General Provider Information

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

Provider Business Mailing Address
First Line	:	962 WAYNE AVE
Second Line	:	STE. L-A
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4433
Country	:	US
Telephone Number	:	301-587-9717
Fax Number	:	301-587-9714

Provider Business Practice Location Address
First Line	:	962 WAYNE AVE
Second Line	:	STE. L-A
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4433
Country	:	US
Telephone Number	:	301-587-9717
Fax Number	:	301-587-9714

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

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	10/12/2007

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