Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC-05065 | OH |
N | 111NI0013X | Independent Medical Examiner | DC-05065 | OH |
N | 207R00000X | Internist | DC-05065 | OH |
N | 111NI0900X | Internist | DC-05065 | OH |
N | 111NN0400X | Neurology | DC-05065 | OH |
N | 111NN1001X | Nutrition | DC-05065 | OH |
N | 111NP0017X | Pediatric Chiropractor | DC-05065 | OH |
N | 111NR0200X | Radiology | DC-05065 | OH |
N | 213ER0200X | Radiology | DC-05065 | OH |
N | 111NR0400X | Rehabilitation Chiropractor | DC-05065 | OH |
N | 111NT0100X | Thermography | DC-05065 | OH |
N | 111NX0100X | Occupational Health | DC-05065 | OH |
N | 111NX0800X | Chiropractor Orthopedic Specialist | DC-05065 | OH |
NPI | 1063090397 |
---|---|
Provider Name | Dr. Ashley Elizabeth Wunderle |
First Address | Bellefontaine, OH 43311-2701 |
Second Address | Bellefontaine, OH 43311-2701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2021 |
Last Update Date | 30/03/2021 |