Basic Information
Provider Information
NPI: 1295193340
EntityType: 2
ReplacementNPI:  
OrganizationName: ASHE FINANCIAL SERVICES, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: AMH-MOUNT JEFFERSON FAMILY MEDICINE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HOSPITAL AVE
Address2: SUITE 3
City: JEFFERSON
State: NC
PostalCode: 286409244
CountryCode: US
TelephoneNumber: 3368467433
FaxNumber: 3368467878
Practice Location
Address1: 200 HOSPITAL AVE
Address2: SUITE 3
City: JEFFERSON
State: NC
PostalCode: 286409244
CountryCode: US
TelephoneNumber: 3368467433
FaxNumber: 3368467878
Other Information
ProviderEnumerationDate: 02/04/2016
LastUpdateDate: 06/27/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LAMBERT
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VP OF COMPLIANCE
AuthorizedOfficialTelephone: 3368460754
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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