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Contact Information

GINA ASH
8704 STATE ST
EAST SAINT LOUIS, IL62203-2048
 Phone: 618-207-3479
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for GINA ASH · (Female)

NPI Number 1275945123
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2014
Last updated 08/02/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • License # 016271
  • IL License # 27122
  • IL License # A-4215-0001-A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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