Gentrup, Ashley M

Gentrup, Ashley M is an individual health care provider with primary practice located at 106 W 69Th St , Sioux Falls SD 57108-6417. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Gentrup, Ashley M can be contacted via phone (605) 274-6717.

Contact Information

Primary practice address
106 W 69Th St Sioux Falls SD 57108-6417
Phone: (605) 274-6717
Fax: (605) 275-4804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1941DT Kentucky
Eye and Vision Services Providers / Vision Therapy 152WV0400X 712 South Dakota
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1941DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 712 South Dakota

Profile Details

NPI number 1962835017
LBN Legal business name Gentrup, Ashley M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2013
Last updated May 20th, 2019 - about 7 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 1962835017 NPPES
South Dakota MEDICAID 9204450
South Dakota MEDICAID 9204452

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