Provider Demographics
NPI:1811987274
Name:STAMP, WILLIAM A (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:STAMP
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 W WALTON ST
Mailing Address - Street 2:
Mailing Address - City:WILLARD
Mailing Address - State:OH
Mailing Address - Zip Code:44890-9418
Mailing Address - Country:US
Mailing Address - Phone:419-935-5511
Mailing Address - Fax:
Practice Address - Street 1:113 WALTON STREET
Practice Address - Street 2:
Practice Address - City:WILLARD
Practice Address - State:OH
Practice Address - Zip Code:44890
Practice Address - Country:US
Practice Address - Phone:419-935-1123
Practice Address - Fax:419-933-3026
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor