Porter, Ashley Brooke Oldham
Porter, Ashley Brooke Oldham is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Porter, Ashley Brooke Oldham can be contacted via phone (731) 541-6026.Contact Information
Primary practice address
620 Skyline Dr
Jackson TN 38301-3923
Phone: (731) 541-6026
Fax: (731) 541-7958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 53838 | Tennessee |
Profile Details
| NPI number | 1003177213 |
|---|---|
| LBN Legal business name | Porter, Ashley Brooke Oldham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2012 |
| Last updated | Jul 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003177213 | NPPES |
| Tennessee | MEDICAID | Q030589 |
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