Larson, Ashley Fabre
Larson, Ashley Fabre is an sole proprietor health care provider with primary practice located at 3529 Westervelt Ave , Baton Rouge LA 70820-5057. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Larson, Ashley Fabre can be contacted via phone (225) 756-0799.Contact Information
Primary practice address
3529 Westervelt Ave
Baton Rouge LA 70820-5057
Phone: (225) 756-0799
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 04522 | Louisiana |
Profile Details
NPI number | 1134252265 |
---|---|
LBN Legal business name | Larson, Ashley Fabre |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1134252265 | NPPES |
Louisiana | MEDICAID | 1314935 |
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