Provider Demographics
NPI:1457125221
Name:AUSTINASH CORPORATION
Entity Type:Organization
Organization Name:AUSTINASH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PAULUS
Authorized Official - Suffix:
Authorized Official - Credentials:NBC-HWC
Authorized Official - Phone:239-872-7216
Mailing Address - Street 1:15841 PORTOFINO SPGS BLVD
Mailing Address - Street 2:APT 107
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-8543
Mailing Address - Country:US
Mailing Address - Phone:239-872-7216
Mailing Address - Fax:
Practice Address - Street 1:15841 PORTOFINO SPGS BLVD
Practice Address - Street 2:APT 107
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-8543
Practice Address - Country:US
Practice Address - Phone:239-872-7216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty