Ashburn, David Michael

Ashburn, David Michael is an individual health care provider with primary practice located at 2205 South 4Th Street , Leavenworth KS 66048-4508. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ashburn, David Michael can be contacted via phone (913) 682-1189.

Contact Information

Primary practice address
2205 South 4Th Street Leavenworth KS 66048-4508
Phone: (913) 682-1189
Fax: (913) 772-0127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14056430021 Kansas

Profile Details

NPI number 1215986369
LBN Legal business name Ashburn, David Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1215986369 NPPES
Kansas MEDICAID 9159788101

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