Vanderjagt, Ashley
Vanderjagt, Ashley is an individual health care provider with primary practice located at 7780 S Broadway Ste 350 , Littleton CO 80122-2641. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Vanderjagt, Ashley can be contacted via phone (720) 638-7500.Contact Information
Primary practice address
7780 S Broadway Ste 350
Littleton CO 80122-2641
Phone: (720) 638-7500
Fax: (720) 583-6770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0004855 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA.0004855 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Colorado |
Profile Details
| NPI number | 1740731488 |
|---|---|
| LBN Legal business name | Vanderjagt, Ashley |
| Credentials | PA-C, MMS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2016 |
| Last updated | Jun 14th, 2022 - about 4 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 | 1740731488 | NPPES |
| Colorado | MEDICAID | 15605817 |
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