Individual
DR. ASHLEY BROOKS MAYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
303 W WILLOW STREET, HARRISBURG, SD 57032-2004
(605) 767-7463
(605) 767-7464
Mailing address
303 W WILLOW STREET, HARRISBURG, SD 57032-2004
(605) 767-7463
(605) 767-7464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1076
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15174
AVERA HEALTH PLANS
SD
01
—
250332
MIDLANDS CHOICE
SD
01
—
4994167
WELLMARK
SD
01
—
49966
SIOUX VALLEY HEALTH PLAN
SD
01
—
699380
ACN GROUP PROVIDER NUMBER
SD
05
—
7604410
—
SD
01
—
C1076
DAKOTACARE
SD
Enumeration date
01/11/2007
Last updated
07/30/2012
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