Provider Demographics
NPI:1215625082
Name:ASHFORD, WILLIAM ALLEN III
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ALLEN
Last Name:ASHFORD
Suffix:III
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 1:1145 E 125TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-4101
Mailing Address - Country:US
Mailing Address - Phone:256-361-5603
Mailing Address - Fax:
Practice Address - Street 1:1145 E 125TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-4101
Practice Address - Country:US
Practice Address - Phone:256-361-5603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health