Provider Demographics
NPI:1124377601
Name:STALMACK, ASHLEY ELIZABETH (DC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ELIZABETH
Last Name:STALMACK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 S DEXTER ST
Mailing Address - Street 2:
Mailing Address - City:PINCKNEY
Mailing Address - State:MI
Mailing Address - Zip Code:48169-9070
Mailing Address - Country:US
Mailing Address - Phone:734-878-3113
Mailing Address - Fax:248-714-1443
Practice Address - Street 1:422 S DEXTER ST
Practice Address - Street 2:
Practice Address - City:PINCKNEY
Practice Address - State:MI
Practice Address - Zip Code:48169-9070
Practice Address - Country:US
Practice Address - Phone:734-878-3113
Practice Address - Fax:248-714-1443
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009946111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION75510OtherMEDICARE