Ashby Group LLC
Organization Active NPI Chiropractor · Rexburg, ID
NPI 1609146158 · NPPES record last updated Dec 30, 2011
Key facts
- NPI
- 1609146158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA-825 (ID)
- Legal business name
- ASHBY GROUP LLC
- Practice address
- 16 S 1St E
Rexburg, ID 83440-1902 - Phone
- (208) 359-6067
- NPI assigned
- Dec 30, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Craig B Ashby, DC
- Title
- Owner
- Phone
- (208) 359-6067
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CHIA-825 | ID | Yes |
Addresses
Primary practice location
16 S 1St E
Rexburg, ID 83440-1902
Mailing address
PO Box 303
Rexburg, ID 83440-0303
Phone (208) 359-6067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805045600 | Medicaid | ID |
Other names
- ASHBY CHIROPRACTIC CLINIC
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.