Couch, Ashley A

Couch, Ashley A is an individual health care provider with primary practice located at 1500 E Downing St Ste 214 , Tahlequah OK 74464-3379. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Couch, Ashley A can be contacted via phone (918) 413-0202.

Contact Information

Primary practice address
1500 E Downing St Ste 214 Tahlequah OK 74464-3379
Fax: (918) 431-0203
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R79935 Oklahoma

Profile Details

NPI number 1811128028
LBN Legal business name Couch, Ashley A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Jun 4th, 2019 - 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 1811128028 NPPES
Oklahoma MEDICAID 200257070A

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