Healthcare Provider Details

I. General information

NPI: 1548265044
Provider Name (Legal Business Name): THOMAS E ASHER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4534 SULGRAVE DR
TOLEDO OH
43623-2050
US

IV. Provider business mailing address

4534 SULGRAVE DR
TOLEDO OH
43623-2050
US

V. Phone/Fax

Practice location:
  • Phone: 419-322-8753
  • Fax:
Mailing address:
  • Phone: 419-322-8753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34005718
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: