Ashby, Diane Elizabeth

Ashby, Diane Elizabeth is an individual health care provider with primary practice located at 207 W Maple Ave , Fayetteville WV 25840-1413. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ashby, Diane Elizabeth can be contacted via phone (304) 574-1575.

Contact Information

Primary practice address
207 W Maple Ave Fayetteville WV 25840-1413
Fax: (304) 469-9811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17308 West Virginia

Profile Details

NPI number 1720020712
LBN Legal business name Ashby, Diane Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720020712 NPPES
West Virginia MEDICAID 0044863000

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