Provider Demographics
NPI:1487705406
Name:ASHCRAFT, STANLEY EDWARD
Entity type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:EDWARD
Last Name:ASHCRAFT
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 1:22777 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2036
Mailing Address - Country:US
Mailing Address - Phone:586-773-3300
Mailing Address - Fax:586-773-2232
Practice Address - Street 1:4 E ALEXANDRINE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2031
Practice Address - Country:US
Practice Address - Phone:586-773-3300
Practice Address - Fax:586-773-2232
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002704237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4598870Medicaid
MI4598807Medicaid
MI4598861Medicaid
MI4598899Medicaid
MI4598932Medicaid
MI4598960Medicaid
MI4598781Medicaid
MI4598816Medicaid
MI4598825Medicaid
MI4598950Medicaid
MI4598843Medicaid
MI4598923Medicaid
MI4598754Medicaid
MI4598914Medicaid
MA4598941Medicaid
MI4598790Medicaid
MI4598772Medicaid
MI4598880Medicaid
MI4598852Medicaid
MI4598825Medicaid