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Ashleigh Renee Smith
Private Vehicle in Petersburg, Illinois
NPI 1922478916

Ashleigh Renee Smith is a Private Vehicle based in Petersburg, IL. Ashleigh Renee Smith practices in Petersburg, IL. The NPI Number for Ashleigh Renee Smith is 1922478916 and holds a License No. S530-0169-1829 (Illinois).

The current practice location address for Ashleigh Renee Smith is 703 N 7Th St, Petersburg, IL and can be reached out via phone at 217-719-1143.

Location: 703 N 7Th St, Petersburg, IL, 62675-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922478916
Provider Name
Ashleigh Renee Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
703 N 7Th St, Petersburg, IL, 62675-1144
Phone Number
217-719-1143
Fax Number
Provider Enumeration Date
10/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019422646 05 IL
812189 01 IL DSCC
institution
Provider Business Practice Location Address Details
Address
703 N 7Th St
City
Petersburg
State
Illinois
Zip
62675-1144
Phone Number
217-719-1143
Fax Number
person
Provider Business Mailing Address Details
Address
703 N 7Th St
City
Petersburg
State
Illinois
Zip
62675-1144
Phone Number
217-719-1143
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
S530-0169-1829 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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