Basic Information
| Provider Information | |||||||||
| NPI: | 1477842821 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AHASIC | ||||||||
| FirstName: | STEPHANIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13020 LIVINGSTON RD | ||||||||
| Address2: | SUITE 14 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341055021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392633330 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 13020 LIVINGSTON RD | ||||||||
| Address2: | SUITE 14 | ||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341055021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392633330 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2011 | ||||||||
| LastUpdateDate: | 09/26/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | CH 10286 | FL | Y | Chiropractic Providers | Chiropractor |
No ID Information.