Otis, Ashley
Otis, Ashley is an sole proprietor health care provider with primary practice located at 4257 Yellowstone Ave , Chubbuck ID 83202-2419. She recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as her primary health care specialty. Otis, Ashley can be contacted via phone (208) 237-3940.Contact Information
Primary practice address
4257 Yellowstone Ave
Chubbuck ID 83202-2419
Phone: (208) 237-3940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | P9227 | Idaho |
Profile Details
| NPI number | 1134711419 |
|---|---|
| LBN Legal business name | Otis, Ashley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2021 |
| Last updated | Feb 8th, 2021 - about 5 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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