Clark, Ashley Nicole

Clark, Ashley Nicole is an sole proprietor health care provider with primary practice located at 1212 Bath Ave Fl 8 , Ashland KY 41101-2696. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is her primary health care specialty. Clark, Ashley Nicole can be contacted via phone (606) 329-8588.

Contact Information

Primary practice address
1212 Bath Ave Fl 8 Ashland KY 41101-2696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Prevention Professional 405300000X NOTCERTIFIED Kentucky

Profile Details

NPI number 1740756014
LBN Legal business name Clark, Ashley Nicole
Credentials PREVENTION SPECIALIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2018
Last updated Feb 14th, 2020 - about 4 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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