O'Bannon, Ashley B.

O'Bannon, Ashley B. is an individual health care provider with primary practice located at 1160 Joliet St Ste 204 , Dyer IN 46311-2096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. O'Bannon, Ashley B. can be contacted via phone (800) 799-2273.

Contact Information

Primary practice address
1160 Joliet St Ste 204 Dyer IN 46311-2096
Phone: (800) 799-2273
Fax: (219) 319-5121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 40481 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01070948A Indiana

Profile Details

NPI number 1629248711
LBN Legal business name O'Bannon, Ashley B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Feb 26th, 2024 - about 2 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 1629248711 NPPES
Indiana Other IN3131004 MEDICARE PTAN

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