Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 01669 | MD |
N | 111NR0400X | Rehabilitation Chiropractor | 01669 | MD |
N | 111NS0005X | Chiropractic Sports Physician | 01669 | MD |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 01669 | MD |
N | 225100000X | Physical Therapist | 16233 | MD |
NPI | 1013131739 |
---|---|
Provider Name | Dr. Edward B Ashton |
First Address | Silver Spring, MD 20910-4433 |
Second Address | Silver Spring, MD 20910-4433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 15/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4624-0001 | CAREFIRST BLUECROSS (01) | DC |
4624-0001 | CAREFIRST BLUECROSS BLUES (01) | MD |
53475902 | BLUECROSSBLUESHIELD (01) | MD |
6456844001 | CIGNA (01) | MD |
U57331 | (02) | MD |