Provider Demographics
NPI:1710139613
Name:VON DOHLEN, ASHLEY S (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:S
Last Name:VON DOHLEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:S
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6302 SPRUCE MILL DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7231
Mailing Address - Country:US
Mailing Address - Phone:610-331-1903
Mailing Address - Fax:
Practice Address - Street 1:2189 SECOND STREET PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4134
Practice Address - Country:US
Practice Address - Phone:215-598-1200
Practice Address - Fax:215-598-1201
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA006507207Q00000X
PAMA053656363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine