Healthcare Provider Details

I. General information

NPI: 1851237150
Provider Name (Legal Business Name): ASHLEY BLAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 FARMER ST
WAKEMAN OH
44889-9415
US

IV. Provider business mailing address

31 FARMER ST
WAKEMAN OH
44889-9415
US

V. Phone/Fax

Practice location:
  • Phone: 419-706-9288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1000909
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: