Greene, Ashley Y

Greene, Ashley Y is an individual health care provider with primary practice located at 4301 W Markham St # 616 , Little Rock AR 72205-7101. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Greene, Ashley Y can be contacted via phone (501) 686-5311.

Contact Information

Primary practice address
4301 W Markham St # 616 Little Rock AR 72205-7101
Phone: (501) 686-5311
Fax: (501) 686-5935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10000417A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1113 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 21961-875 Wisconsin

Profile Details

NPI number 1811916612
LBN Legal business name Greene, Ashley Y
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 29th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811916612 NPPES
Other 000000374069 BCBS PIN
Other 970012674 BCBS PIN

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