Detore, Ashley Lynn
Detore, Ashley Lynn is an individual health care provider with primary practice located at 1350 S Eliseo Dr Ste 300 , Greenbrae CA 94904-2011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Detore, Ashley Lynn can be contacted via phone (484) 332-8149.Contact Information
Primary practice address
1350 S Eliseo Dr Ste 300
Greenbrae CA 94904-2011
Phone: (484) 332-8149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 61109 | California |
Profile Details
| NPI number | 1174143101 |
|---|---|
| LBN Legal business name | Detore, Ashley Lynn |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2020 |
| Last updated | Mar 10th, 2023 - about last year |
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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