Ashley R Fowler DC LLC
Organization Active NPI Chiropractor · Austintown, OH
NPI 1134412968 · NPPES record last updated Jun 7, 2011
Key facts
- NPI
- 1134412968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3960 (OH)
- Legal business name
- ASHLEY R FOWLER DC LLC
- Practice address
- 1570 S Canfield Niles Rd
Building a Suite 103
Austintown, OH 44515-4042 - Phone
- (330) 793-4445
- Fax
- (330) 793-1990
- NPI assigned
- May 26, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Ashley R Fowler, D.C.
- Title
- Sole Owner
- Phone
- (330) 793-4445
Practitioners 2
-
Ashley Rae Fowler, D.C.
-
Victor Anthony Kuchmaner, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110915000314 | OH | Part B Supplier - Clinic/Group Practice | 9931370350 |
Receives reassigned benefits from 1 practitioner Practice locations: Austintown, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3960 | OH | Yes |
Addresses
Primary practice location
1570 S Canfield Niles Rd
Building a Suite 103
Austintown, OH 44515-4042
Mailing address
1570 S Canfield Niles Rd
Building a Suite 103
Austintown, OH 44515-4042
Phone (330) 793-4445
Other providers in Austintown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.