1881251718 NPI number — DR. ASHTON DAWN RITCHISON AUD

Table of content: DR. ASHTON DAWN RITCHISON AUD (NPI 1881251718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881251718 NPI number — DR. ASHTON DAWN RITCHISON AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RITCHISON
Provider First Name:
ASHTON
Provider Middle Name:
DAWN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CRAIN
Provider Other First Name:
ASHTON
Provider Other Middle Name:
DAWN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
AUD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881251718
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2216 REAGAN AVE APT 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCK SPRINGS
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82901-4695
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-253-0373
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2210 KING BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CASPER
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82604-3165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
73-577-4240
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2019

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: 231H00000X , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X , with the licence number: A1037 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: A1037 . This is a "AUDIOLOGIST LICENSE" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".




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