Ashley, Charles Marquiss

Ashley, Charles Marquiss is an sole proprietor health care provider with primary practice located at 7505 38Th Ave , Kenosha WI 53142-4341. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ashley, Charles Marquiss can be contacted via phone (262) 694-7522.

Contact Information

Primary practice address
7505 38Th Ave Kenosha WI 53142-4341
Phone: (262) 694-7522
Fax: (262) 697-9501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5000741-015 Wisconsin

Profile Details

NPI number 1740314293
LBN Legal business name Ashley, Charles Marquiss
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740314293 NPPES
Wisconsin MEDICAID 33638000

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