Provider Demographics
NPI:1790078038
Name:ASHE PEDIATRICS
Entity Type:Organization
Organization Name:ASHE PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-846-6500
Mailing Address - Street 1:PO BOX 1499
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-1499
Mailing Address - Country:US
Mailing Address - Phone:336-846-4543
Mailing Address - Fax:336-846-7337
Practice Address - Street 1:303 E 2ND ST
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-8905
Practice Address - Country:US
Practice Address - Phone:336-846-4543
Practice Address - Fax:336-846-7337
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WJ MEDICAL ASSOC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC76284261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care