Bacheller, Ashley Grogan

Bacheller, Ashley Grogan is an individual health care provider with primary practice located at 255 Memorial Dr , Jacksonville NC 28546-6333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bacheller, Ashley Grogan can be contacted via phone (910) 353-7848.

Contact Information

Primary practice address
255 Memorial Dr Jacksonville NC 28546-6333
Phone: (910) 353-7848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1134579584
LBN Legal business name Bacheller, Ashley Grogan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jul 5th, 2017 - about 8 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 1134579584 NPPES
North Carolina Other 56-1880357 EMPLOYEE IDENTIFICATION NUMBER

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