Granner, Ashten
Granner, Ashten is an individual health care provider with primary practice located at 2035 Saint John Ave Ste 2 , Dyersburg TN 38024-2209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Granner, Ashten can be contacted via phone (731) 325-5515.Contact Information
Primary practice address
2035 Saint John Ave Ste 2
Dyersburg TN 38024-2209
Phone: (731) 325-5515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6670 | Tennessee |
Profile Details
| NPI number | 1982216164 |
|---|---|
| LBN Legal business name | Granner, Ashten |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2020 |
| Last updated | Oct 6th, 2020 - 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 | 1982216164 | NPPES |
| Tennessee | MEDICAID | Q029723 |
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