Gentrup, Ashley M
Gentrup, Ashley M is an individual health care provider with primary practice located at 106 W 69Th St , Sioux Falls SD 57108-6417. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Gentrup, Ashley M can be contacted via phone (605) 274-6717.Contact Information
Primary practice address
106 W 69Th St
Sioux Falls SD 57108-6417
Phone: (605) 274-6717
Fax: (605) 275-4804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1941DT | Kentucky |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 712 | South Dakota |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1941DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 712 | South Dakota |
Profile Details
| NPI number | 1962835017 |
|---|---|
| LBN Legal business name | Gentrup, Ashley M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2013 |
| Last updated | May 20th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962835017 | NPPES |
| South Dakota | MEDICAID | 9204450 | |
| South Dakota | MEDICAID | 9204452 |
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