Wildhaber, Ashley Lynn
Wildhaber, Ashley Lynn is an sole proprietor health care provider with primary practice located at 111 Tumwater Blvd Se # 301 , Tumwater WA 98501-6400. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wildhaber, Ashley Lynn can be contacted via phone (360) 786-9354.Contact Information
Primary practice address
111 Tumwater Blvd Se # 301
Tumwater WA 98501-6400
Phone: (360) 786-9354
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DE61085858 | Washington |
Profile Details
NPI number | 1851991319 |
---|---|
LBN Legal business name | Wildhaber, Ashley Lynn |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 26th, 2020 |
Last updated | Oct 26th, 2020 - about 4 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 | 1851991319 | NPPES |
Washington | MEDICAID | 1220931301 |
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