Mcclendon, Ashley Nichole
Mcclendon, Ashley Nichole is an sole proprietor health care provider with primary practice located at 1847 S Lake Dr , Lexington SC 29073-7759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcclendon, Ashley Nichole can be contacted via phone (803) 356-8998.Contact Information
Primary practice address
1847 S Lake Dr
Lexington SC 29073-7759
Phone: (803) 356-8998
Fax: (803) 356-8999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2502 | South Carolina |
Profile Details
| NPI number | 1528427408 |
|---|---|
| LBN Legal business name | Mcclendon, Ashley Nichole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2016 |
| Last updated | Oct 22nd, 2018 - about 6 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 | 1528427408 | NPPES |
| South Carolina | MEDICAID | 3000PA | |
| South Carolina | Other | 423828 | |
| South Carolina | MEDICAID | PC4116 | |
| South Carolina | MEDICAID | RHC020 | |
| South Carolina | Other | 428926 | |
| South Carolina | MEDICAID | RHC151 |
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