Bennett, Ashley W

Bennett, Ashley W is an individual health care provider with primary practice located at 1070 N Curtis Rd Ste 270 , Boise ID 83706-1248. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bennett, Ashley W can be contacted via phone (304) 617-1511.

Contact Information

Primary practice address
1070 N Curtis Rd Ste 270 Boise ID 83706-1248
Phone: (304) 617-1511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 102881 Missouri
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MC-0858 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X 102881 Missouri

Profile Details

NPI number 1326252545
LBN Legal business name Bennett, Ashley W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Feb 19th, 2025 - about last year

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 1326252545 NPPES
Missouri MEDICAID 2021049262

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