Ashley, John Robert

Ashley, John Robert is an individual health care provider with primary practice located at 6565 S Yale Ave Ste 1200 , Tulsa OK 74136-8313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ashley, John Robert can be contacted via phone (918) 502-3376.

Contact Information

Primary practice address
6565 S Yale Ave Ste 1200 Tulsa OK 74136-8313
Fax: (918) 857-1961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 13846 Oklahoma

Profile Details

NPI number 1063411825
LBN Legal business name Ashley, John Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 12th, 2021 - about 3 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 1063411825 NPPES
Oklahoma MEDICAID 100123530C

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