Ashley, Susan L.

Ashley, Susan L. is an individual health care provider with primary practice located at 1431 N Liberty Lake Rd Ste B , Liberty Lake WA 99019-8522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ashley, Susan L. can be contacted via phone (509) 928-6700.

Contact Information

Primary practice address
1431 N Liberty Lake Rd Ste B Liberty Lake WA 99019-8522
Phone: (509) 928-6700
Fax: (509) 928-0861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-14409 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00028821 Washington

Profile Details

NPI number 1821188640
LBN Legal business name Ashley, Susan L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 15th, 2023 - about 2 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 1821188640 NPPES
Washington MEDICAID 8139594

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