Ashley, William Samuel
Ashley, William Samuel is an individual health care provider with primary practice located at 1808 Mission 66 , Vicksburg MS 39180-3710. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ashley, William Samuel can be contacted via phone (601) 636-6364.Contact Information
Primary practice address
1808 Mission 66
Vicksburg MS 39180-3710
Phone: (601) 636-6364
Fax: (601) 636-1162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 487 | Mississippi |
Profile Details
| NPI number | 1952410011 |
|---|---|
| LBN Legal business name | Ashley, William Samuel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 21st, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952410011 | NPPES |
| Mississippi | MEDICAID | 00087909 |
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