Doctor Name: | ASHLEIGH RENEE SMITH |
NPI Number: | 1922478916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | S530-0169-1829 |
Business Practice Address: | 703 N 7th St Petersburg, IL - 626751144 |
Business Phone Number: | 2177191143 |
Business Fax Number: | |
Mailing Address: | 703 N 7th St, PETERSBURG |
State: | IL |
Postal Code: | 626751144 |
Phone Number: | 2177191143 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2015 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | S530-0169-1829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |