Provider Demographics
NPI:1154912483
Name:ASHER, JARRATT A
Entity type:Individual
Prefix:DR
First Name:JARRATT
Middle Name:A
Last Name:ASHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S METCALF RD
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66053-4116
Mailing Address - Country:US
Mailing Address - Phone:913-837-5555
Mailing Address - Fax:
Practice Address - Street 1:6 S METCALF RD
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:KS
Practice Address - Zip Code:66053-4116
Practice Address - Country:US
Practice Address - Phone:913-837-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS13267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist