Ashbrook, Melvin Thomas
Ashbrook, Melvin Thomas is an individual health care provider with primary practice located at 121 Wyatt Dr #3, Las Cruces NM 88005-2959. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ashbrook, Melvin Thomas can be contacted via phone (505) 523-7752.Contact Information
Primary practice address
121 Wyatt Dr #3
Las Cruces NM 88005-2959
Phone: (505) 523-7752
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1634 | New Mexico |
Profile Details
| NPI number | 1164404323 |
|---|---|
| LBN Legal business name | Ashbrook, Melvin Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1164404323 | NPPES |
| New Mexico | MEDICAID | 0016101 |
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