Smith, Ashleigh Renee
Smith, Ashleigh Renee is an sole proprietor health care provider with primary practice located at 703 N 7Th St , Petersburg IL 62675-1144. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Smith, Ashleigh Renee can be contacted via phone (217) 719-1143.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Private Vehicle | 347C00000X | S530-0169-1829 | Illinois |
Profile Details
| NPI number | 1922478916 |
|---|---|
| LBN Legal business name | Smith, Ashleigh Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2015 |
| Last updated | Oct 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922478916 | NPPES |
| Illinois | MEDICAID | 2019422646 | |
| Illinois | Other | 812189 |
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