Individual
DR. CRAIG BENJAMIN ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16 S 1ST E, REXBURG, ID 83440-1902
(208) 359-6067
(208) 359-6069
Mailing address
16 S 1ST E, PO BOX 303, REXBURG, ID 83440-1902
(208) 359-6067
(208) 359-6069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA825
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010018730
BLUE SHIELD
ID
01
—
000010018731
BLUE SHIELD
ID
05
—
805045600
—
ID
01
—
C8240
BLUE CROSS
ID
01
—
C8257
BLUE CROSS
ID
Enumeration date
02/09/2007
Last updated
07/08/2007
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