Ash, Jeffrey

Ash, Jeffrey is an individual health care provider with primary practice located at 300 W Country Club Rd Ste 130 , Roswell NM 88201-5249. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ash, Jeffrey can be contacted via phone (575) 625-2669.

Contact Information

Primary practice address
300 W Country Club Rd Ste 130 Roswell NM 88201-5249
Fax: (575) 625-1296
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 300 New Mexico

Profile Details

NPI number 1235149196
LBN Legal business name Ash, Jeffrey
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 28th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235149196 NPPES
Other 4583990001 DMERC
Other NPI & TIN DMERC
MEDICAID 55155863 DMERC

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