Fugate, Ashley Marie

Fugate, Ashley Marie is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fugate, Ashley Marie can be contacted via phone (269) 687-0200.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Fax:
Website:

Profile Details

NPI number 1104281583
LBN Legal business name Fugate, Ashley Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2015
Last updated Jun 20th, 2024 - about 5 months 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 1104281583 NPPES
Indiana MEDICAID 201368160

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