Wickwire, Ashley Shavon

Wickwire, Ashley Shavon is an sole proprietor health care provider with primary practice located at 10905 Claremont Ave Ne , Albuquerque NM 87112-1606. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Wickwire, Ashley Shavon can be contacted via phone (505) 712-0122.

Contact Information

Primary practice address
10905 Claremont Ave Ne Albuquerque NM 87112-1606
Phone: (505) 712-0122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 7130 New Mexico

Profile Details

NPI number 1164799649
LBN Legal business name Wickwire, Ashley Shavon
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 15 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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