1497052948 NPI number — MS. ASHLEIGH HINNER DOWIS MSE, LPCC

Table of content: MS. ASHLEIGH HINNER DOWIS MSE, LPCC (NPI 1497052948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497052948 NPI number — MS. ASHLEIGH HINNER DOWIS MSE, LPCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOWIS
Provider First Name:
ASHLEIGH
Provider Middle Name:
HINNER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSE, LPCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HINNER
Provider Other First Name:
ASHLEIGH
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497052948
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/28/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4600 18TH AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-287-2010
Provider Business Mailing Address Fax Number:
507-287-7805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4600 18TH AVE NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-287-2010
Provider Business Practice Location Address Fax Number:
507-287-7805
Provider Enumeration Date:
02/18/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  4533-125 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: CC00790 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 886150100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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