Dougvillo, Ashley Nicole

Dougvillo, Ashley Nicole is an individual health care provider with primary practice located at 3701 80Th St , Kenosha WI 53142-4950. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dougvillo, Ashley Nicole can be contacted via phone (262) 697-1730.

Contact Information

Primary practice address
3701 80Th St Kenosha WI 53142-4950
Phone: (262) 697-1730
Fax: (262) 697-5290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11656-24 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-018760 Illinois

Profile Details

NPI number 1306143268
LBN Legal business name Dougvillo, Ashley Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2011
Last updated Dec 5th, 2015 - about 11 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 1306143268 NPPES
Wisconsin Other 859400061 MEDICARE
Wisconsin Other IL6237017 MEDICARE
Wisconsin Other P01163847 MEDICARE
Wisconsin Other IL6238017 MEDICARE

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