Richard J Ashack in Grand Rapids - Dermatology
Richard J Ashack - NPI 1649260688
Richard J Ashack is a Dermatology in Grand Rapids, Michigan. Richard J Ashack practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Richard J Ashack is 1649260688. The last update date is 2020-07-23.
Richard J Ashack's current location address is 1740 E Paris Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169495600 and fax number 6169496571. The mailing address for Richard J Ashack is 1740 E Paris Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard J Ashack |
|---|---|
| Address | 1740 E Paris Ave Se, Grand Rapids, Michigan |
| Phone Number | 6169495600 |
| Fax Number | 6169496571 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649260688 |
|---|---|
| Provider Enumeration Date | 2005-10-21 |
| Last Updated Date | 2020-07-23 |
Provider Mailing Address Detail
| Address | 1740 E Paris Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495466204 |
| Phone Number | 6169495600 |
| Fax Number | 6169496571 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | RA055555 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RA055555 | MI | STATE LICENSE | |
| 704102581 | MI | BLUE SHIELD | |
| 70014420 | MI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Richard J Ashack's 1649260688?
The Richard J Ashack's NPI (National Provider Identifier) Number is 1649260688. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Richard J Ashack is physically located?
The Richard J Ashack is physically situated at the following address: 1740 E Paris Ave Se, Grand Rapids, MI, 495466204.
What is the area of specialization for Richard J Ashack, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard J Ashack is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649260688 to Richard J Ashack?
The Centers for Medicare & Medicaid Services originally issued the 1649260688 to Richard J Ashack on 2005-10-21.
When was the Richard J Ashack's information last updated?
The Richard J Ashack's information was last updated on 2020-07-23.