Provider Demographics
NPI:1114551389
Name:ROVTAR, ASHLEIGH LAUREN
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:LAUREN
Last Name:ROVTAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-4210
Mailing Address - Country:US
Mailing Address - Phone:740-262-2679
Mailing Address - Fax:
Practice Address - Street 1:324 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:OH
Practice Address - Zip Code:43342-9304
Practice Address - Country:US
Practice Address - Phone:740-262-2679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty