Wilk, Ashley Rose

Wilk, Ashley Rose is an individual health care provider with primary practice located at 1201 1St St S Ste 100A , Winter Haven FL 33880-3904. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wilk, Ashley Rose can be contacted via phone (863) 280-6080.

Contact Information

Primary practice address
1201 1St St S Ste 100A Winter Haven FL 33880-3904
Phone: (863) 280-6080
Fax: (863) 229-7587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS15333 Florida

Profile Details

NPI number 1316330483
LBN Legal business name Wilk, Ashley Rose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2015
Last updated Aug 5th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316330483 NPPES
Florida MEDICAID 100521300

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