Organization
ASHLAND INTEGRATED MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEE VANHOOSE APRN (APRN/OWNER)
(606) 393-0110
Entity
Organization
Contact information
Practice address
155 W. CENTRAL AVENUE, ASHLAND, KY 41101-7364
(606) 393-0110
(606) 326-0114
Mailing address
155 W. CENTRAL AVENUE, ASHLAND, KY 41101-7364
(606) 393-0110
(606) 326-0114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5449
KY
208600000X
Surgery Physician
36483
KY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
363L00000X
Nurse Practitioner
3006910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100350560
—
KY
05
—
7100363920
—
KY
05
—
7100428120
—
KY
Enumeration date
08/26/2014
Last updated
11/30/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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