Ashley, Jon Stephen

Ashley, Jon Stephen is an sole proprietor health care provider with primary practice located at 1401 River Rd , Greenwood MS 38930-4030. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Ashley, Jon Stephen can be contacted via phone (662) 459-2613.

Contact Information

Primary practice address
1401 River Rd Greenwood MS 38930-4030
Phone: (662) 459-2613
Fax: (662) 459-1159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 12084 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 12084 Mississippi

Profile Details

NPI number 1104900968
LBN Legal business name Ashley, Jon Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Feb 23rd, 2017 - about 7 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 1104900968 NPPES
Mississippi Other P01713169 RAILROAD MEDICARE PTAN
Mississippi MEDICAID 000121529 RAILROAD MEDICARE PTAN

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