Provider Demographics
NPI:1275376063
Name:ASHENIX ENTERPRISE LLC
Entity type:Organization
Organization Name:ASHENIX ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRACHISEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-613-2520
Mailing Address - Street 1:3114 FOX RD STE D
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9577
Mailing Address - Country:US
Mailing Address - Phone:870-322-6056
Mailing Address - Fax:
Practice Address - Street 1:3114 FOX RD STE D
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9577
Practice Address - Country:US
Practice Address - Phone:870-322-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center