Ashley, Michael A

Ashley, Michael A is an sole proprietor health care provider with primary practice located at 501 S Washington St , Swayzee IN 46986-9578. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ashley, Michael A can be contacted via phone (765) 661-1995.

Contact Information

Primary practice address
501 S Washington St Swayzee IN 46986-9578
Phone: (765) 661-1995
Fax: (888) 419-8515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20090231A Indiana

Profile Details

NPI number 1801899059
LBN Legal business name Ashley, Michael A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Feb 27th, 2013 - about 13 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 1801899059 NPPES
Indiana Other 33237 NATIONAL REGISTRY OF HEALTH SERVICE PSYCHOLOGISTS
Indiana MEDICAID 200167170A NATIONAL REGISTRY OF HEALTH SERVICE PSYCHOLOGISTS
Indiana Other 11590722 NATIONAL REGISTRY OF HEALTH SERVICE PSYCHOLOGISTS

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