Dickert, Ashley Marie

Dickert, Ashley Marie is an individual health care provider with primary practice located at 140 Allen Court , North Augusta SC 29860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dickert, Ashley Marie can be contacted via phone (803) 510-0007.

Contact Information

Primary practice address
140 Allen Court North Augusta SC 29860
Phone: (803) 510-0007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4014 South Carolina

Profile Details

NPI number 1013243021
LBN Legal business name Dickert, Ashley Marie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2009
Last updated May 29th, 2018 - 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 1013243021 NPPES
South Carolina MEDICAID NP3007

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