Fedusenko, Ashley Lauren
Fedusenko, Ashley Lauren is an individual health care provider with primary practice located at 979 E 3Rd St Ste A540A550 , Chattanooga TN 37403-2136. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Fedusenko, Ashley Lauren can be contacted via phone (423) 778-2867.Contact Information
Primary practice address
979 E 3Rd St Ste A540A550
Chattanooga TN 37403-2136
Phone: (423) 778-2867
Fax: (423) 778-8182
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 86562 | Georgia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 60391 | Tennessee |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 60391 | Tennessee |
Profile Details
NPI number | 1861846800 |
---|---|
LBN Legal business name | Fedusenko, Ashley Lauren |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2016 |
Last updated | Oct 27th, 2021 - about 3 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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