Provider Demographics
NPI:1457534539
Name:DONNA ASHBY DBA THE PERFECT FIT
Entity Type:Organization
Organization Name:DONNA ASHBY DBA THE PERFECT FIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED MASTECTOMY FITTER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:SADLER
Authorized Official - Last Name:ASHBY
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:270-691-0017
Mailing Address - Street 1:1002 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-4733
Mailing Address - Country:US
Mailing Address - Phone:270-691-0017
Mailing Address - Fax:270-691-0768
Practice Address - Street 1:1002 E 18TH ST
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4733
Practice Address - Country:US
Practice Address - Phone:270-691-0017
Practice Address - Fax:270-691-0768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90003195Medicaid
KY000000206497OtherANTHEM BC/BS
KY4067460001Medicare NSC